go back

Tocilizumab (2 Years of Age and Older) Injection

Illinois rates for HCPCS Q0249 · Actemra

Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with COVID-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO) only, 1 mg

Rates data updated July 2026.

How much does Actemra (tocilizumab) cost?

$7.76per mg

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $7.76 for each mg of this drug. The price depends on where it is billed: about $7.59 from a physician practice, and about $12.59 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$7.59
At a hospital outpatient department
$12.59

The same drug, in the same amount, costs 66% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.59$7.59 to $9.12
FacilityA hospital or hospital-owned outpatient department$12.59$8.32 to $13.49

How much rates vary

Facilitymedian $13 · 10th to 90th $8 to $18Professionalmedian $8 · 10th to 90th $7 to $13
$10$20$50$100$200facility $13professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$12.59
Typical High
$15.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$13.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$27.54
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$12.59
Typical High
$16.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.59
Typical High
$100.00
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$9.33
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59

Where Illinois sits

The same service costs 1.9 times more in Alaska than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 21st of 51

$7.76

AK $12.88HI $6.61

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.