Tocilizumab (2 Years of Age and Older) Injection

South Carolina 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 South Carolina, 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 $8.51 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.

Amount givenmg

In a doctor's office or clinic: $7.59
At a hospital outpatient department: $8.51

The same drug, in the same amount, costs 12% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$7.59	$7.08 to $7.94
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$8.51	$7.76 to $12.88

How much rates vary

Facilitymedian $9 · 10th to 90th $7 to $17Professionalmedian $8 · 10th to 90th $7 to $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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94	Facility	None	$7.94	$7.94	$7.94
Aetna Setting Professional Modifier None Typical Low $6.46 Median $7.94 Typical High $7.94	Professional	None	$6.46	$7.94	$7.94
BCBS South Carolina Setting Facility Modifier None Typical Low $6.92 Median $8.13 Typical High $15.49	Facility	None	$6.92	$8.13	$15.49
BCBS South Carolina Setting Professional Modifier None Typical Low $7.08 Median $7.59 Typical High $8.32	Professional	None	$7.08	$7.59	$8.32
Cigna Setting Facility Modifier None Typical Low $7.59 Median $12.88 Typical High $16.60	Facility	None	$7.59	$12.88	$16.60
Cigna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76	Professional	None	$6.76	$6.76	$6.76
Medcost Setting Facility Modifier None Typical Low $7.94 Median $8.71 Typical High $21.88	Facility	None	$7.94	$8.71	$21.88
Medcost Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61	Professional	None	$6.61	$6.61	$6.61
United Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41	Facility	None	$7.41	$7.41	$7.41
United Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $8.32	Professional	None	$7.59	$7.59	$8.32

Where South Carolina 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.

South Carolina· 16th 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.