go back

Trastuzumab-pkrb (Herzuma) Injection

Tennessee rates for HCPCS Q5113

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

Rates data updated July 2026.

How much does Trastuzumab-pkrb (Herzuma) Injection cost?

$56.23per 10 mg

Typical negotiated rate. In Tennessee, 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 $79.43 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
$79.43

The same drug, in the same amount, costs 41% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$56.23$56.23 to $57.54
FacilityA hospital or hospital-owned outpatient department$79.43$56.23 to $112

How much rates vary

Facilitymedian $79 · 10th to 90th $56 to $170Professionalmedian $56 · 10th to 90th $55 to $62
$50.0$100.0$200.0$500.0facility $79professional $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
$56.23
Median
$83.18
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$61.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$295.12
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$58.88
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$54.95
Typical High
$67.61

Where Tennessee 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.

Tennessee $56.23 · 49th 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.