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Tisagenlecleucel (Kymriah) CAR-T Therapy

Wisconsin rates for HCPCS Q2040

Tisagenlecleucel car-pos t

Rates data updated July 2026.

How much does Tisagenlecleucel (Kymriah) CAR-T Therapy cost?

$588,844

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $588,844 for this service. The price depends on where it is billed: about $524,807 from a physician practice, and about $691,831 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$524,807$501,187 to $602,560
FacilityA hospital or hospital-owned outpatient department$691,831$602,560 to $1,122,018

How much rates vary

Facilitymedian $691,831 · 10th to 90th $489,779 to $1,288,250Professionalmedian $524,807 · 10th to 90th $467,735 to $602,560
$100$1K$10K$100K$1Mfacility $691,831professional $524,807

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489,778.82
Median
$691,830.97
Typical High
$1,288,249.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467,735.14
Median
$524,807.46
Typical High
$602,559.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$831,763.77
Median
$831,763.77
Typical High
$831,763.77
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,000,000.00
Median
$1,000,000.00
Typical High
$1,000,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$489,778.82
Median
$489,778.82
Typical High
$831,763.77
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,000,000.00
Median
$1,000,000.00
Typical High
$1,000,000.00

Where Wisconsin sits

The same service costs 446683.6 times more in Illinois than in Florida. 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.

Wisconsin· 12th of 41

$588,844

IL $2,454,709FL $5.50

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.