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Tocilizumab (2 Years of Age and Older) Injection

New Jersey 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?

$7.59per mg

Typical negotiated rate. In New Jersey, October 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 $14,454 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
$14,454

The same drug, in the same amount, costs 190446% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.59$7.59 to $7.59
FacilityA hospital or hospital-owned outpatient department$14,454$6,607 to $19,953

How much rates vary

Facilitymedian $14,454 · 10th to 90th $7 to $26,915Professionalmedian $8 · 10th to 90th $7 to $8
$10$100$1K$10Kfacility $14,454professional $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
$7.59
Median
$7.59
Typical High
$7.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.51
Median
$1.51
Typical High
$1.51
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.12
Median
$1.12
Typical High
$1.15
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.76
Median
$0.76
Typical High
$0.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$6.76
Median
$6.76
Typical High
$10.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$8,128.31
Median
$16,218.10
Typical High
$27,542.29
United
Setting
Facility
Modifier
None
Typical Low
$7.08
Median
$7.08
Typical High
$7.41
United
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$7.59
Typical High
$8.51

Where New Jersey sits

The same service costs 229.1 times more in Alabama 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.

New Jersey· 31st of 51

$7.59

AL $1,622ND $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.