Tocilizumab (2 Years of Age and Older) Injection

New Mexico 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?

$9.55per mg

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $9.55 for each mg of this drug. The price depends on where it is billed: about $9.55 from a physician practice, and about $11.75 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.

Amount givenmg

In a doctor's office or clinic: $9.55
At a hospital outpatient department: $11.75

The same drug, in the same amount, costs 23% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$9.55	$7.59 to $9.55
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$11.75	$8.32 to $12.59

How much rates vary

Facilitymedian $12 · 10th to 90th $7 to $13Professionalmedian $10 · 10th to 90th $8 to $11

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $8.32 Median $11.75 Typical High $21.88	Facility	Global	$8.32	$11.75	$21.88
Aetna Setting Professional Modifier Global Typical Low $7.59 Median $9.55 Typical High $10.72	Professional	Global	$7.59	$9.55	$10.72
Cigna Setting Facility Modifier Global Typical Low $6.76 Median $6.76 Typical High $13.49	Facility	Global	$6.76	$6.76	$13.49
Cigna Setting Professional Modifier Global Typical Low $6.76 Median $6.76 Typical High $6.76	Professional	Global	$6.76	$6.76	$6.76
Providence Setting Facility Modifier Global Typical Low $6.76 Median $6.76 Typical High $13.49	Facility	Global	$6.76	$6.76	$13.49
Providence Setting Professional Modifier Global Typical Low $6.76 Median $6.76 Typical High $6.76	Professional	Global	$6.76	$6.76	$6.76
United Setting Facility Modifier Global Typical Low $7.08 Median $7.59 Typical High $12.59	Facility	Global	$7.08	$7.59	$12.59
United Setting Professional Modifier Global Typical Low $7.59 Median $7.59 Typical High $7.59	Professional	Global	$7.59	$7.59	$7.59

Where New Mexico 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.

New Mexico· 6th of 51

$9.55

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.