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Trastuzumab-pkrb (Herzuma) Injection

North Carolina rates for HCPCS Q5113

Injection, trastuzumab-pkrb, biosimilar, (Herzuma), 10 mg

Rates data updated July 2026.

How much does Herzuma (trastuzumab) cost?

$56.23per 10 mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $56.23 for each 10 mg of this drug. The price depends on where it is billed: about $56.23 from a physician practice, and about $74.13 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 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$56.23
At a hospital outpatient department
$74.13

The same drug, in the same amount, costs 32% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$56.23$56.23 to $58.88
FacilityA hospital or hospital-owned outpatient department$74.13$54.95 to $110

How much rates vary

Facilitymedian $74 · 10th to 90th $30 to $132Professionalmedian $56 · 10th to 90th $30 to $74
$20.0$50.0$100.0$200.0$500.0facility $74professional $56

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
$29.51
Median
$109.65
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$56.23
Typical High
$74.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$102.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$83.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$56.23
Typical High
$100.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$93.33
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$58.88
Typical High
$72.44
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$295.12

Where North Carolina sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $56.23 · 25th of 51
NY $63.10AZ $56.23

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.