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Tisagenlecleucel (Kymriah), up to 600 Million CAR-T Cells

Hawaii rates for HCPCS Q2042

Tisagenlecleucel, up to 600 million CAR-positive viable T cells, including leukapheresis and dose preparation procedures, per therapeutic dose

Rates data updated July 2026.

How much does Kymriah (tisagenlecleucel) cost?

$616,595

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $616,595 for this service. Most negotiated rates run $549,541 to $616,595.

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.

How much rates vary

Professionalmedian $616,595 · 10th to 90th $549,541 to $645,654
professional $616,595

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
Professional
Modifier
Global
Typical Low
$616,595.00
Median
$616,595.00
Typical High
$645,654.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562,341.33
Median
$562,341.33
Typical High
$676,082.98
HMSA
Setting
Professional
Modifier
Global
Typical Low
$549,540.87
Median
$549,540.87
Typical High
$549,540.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$616,595.00
Median
$741,310.24
Typical High
$912,010.84
United
Setting
Professional
Modifier
Global
Typical Low
$14,125.38
Median
$14,125.38
Typical High
$562,341.33

Where Hawaii sits

Rates are fairly even across states for this service. 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.

Hawaii· 30th of 51

$616,595

RI $645,654NC $602,560

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.