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Tocilizumab (2 Years of Age and Older) Injection

Michigan 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 October 2026.

How much does Actemra (tocilizumab) cost?

$7.76per mg

Typical negotiated rate. In Michigan, October 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 $11.48 from a hospital or other facility.

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
$11.48

The same drug, in the same amount, costs 51% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.59$7.41 to $7.94
FacilityA hospital or hospital-owned outpatient department$11.48$7.76 to $21.88

How much rates vary

Facilitymedian $11 · 10th to 90th $7 to $25Professionalmedian $8 · 10th to 90th $7 to $10
$10$20facility $11professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$7.76
Median
$21.88
Typical High
$24.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$7.76
Typical High
$10.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$3.80
Median
$3.89
Typical High
$5.01
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.51
Median
$1.55
Typical High
$2.00
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.12
Median
$1.17
Typical High
$1.51
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.76
Median
$0.78
Typical High
$1.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.76
Median
$6.76
Typical High
$7.59
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$7.94
Median
$19.05
Typical High
$24.55
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$7.76
Typical High
$9.55
Priority Health
Setting
Facility
Modifier
None
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Priority Health
Setting
Professional
Modifier
None
Typical Low
$6.76
Median
$6.76
Typical High
$7.59
United
Setting
Facility
Modifier
None
Typical Low
$7.08
Median
$7.41
Typical High
$7.41
United
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$7.59
Typical High
$10.23

Where Michigan sits

The same service costs 1.8 times more in Alaska than in North Dakota. 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.

Michigan· 15th of 51

$7.76

AK $12.88ND $7.08

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.