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Tocilizumab (2 Years of Age and Older) Injection

Nebraska 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?

$7.59per mg

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $7.59 for each mg of this drug. The price depends on where it is billed: about $7.59 from a physician practice, and about $12.02 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
$12.02

The same drug, in the same amount, costs 58% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 $7.59
FacilityA hospital or hospital-owned outpatient department$12.02$7.59 to $15.14

How much rates vary

Facilitymedian $12 · 10th to 90th $6 to $17Professionalmedian $8 · 10th to 90th $8 to $8
$10$20$50$100facility $12professional $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
$15.14
Typical High
$17.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$6.17
Typical High
$8.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.32
Typical High
$8.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.76
Typical High
$9.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$7.24
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$8.32
Midlands
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.59
Typical High
$15.14
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.59
Typical High
$8.32

Where Nebraska 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.

Nebraska· 37th of 51

$7.59

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.