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

Idaho 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?

$630,957

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $630,957 for this service. The price depends on where it is billed: about $630,957 from a physician practice, and about $707,946 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 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$630,957$616,595 to $676,083
FacilityA hospital or hospital-owned outpatient department$707,946$588,844 to $794,328

How much rates vary

Facilitymedian $707,946 · 10th to 90th $501,187 to $1,023,293Professionalmedian $630,957 · 10th to 90th $616,595 to $776,247
$10$100$1K$10K$100K$1Mfacility $707,946professional $630,957

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
$616,595.00
Median
$616,595.00
Typical High
$1,023,292.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616,595.00
Median
$616,595.00
Typical High
$776,247.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$977,237.22
Median
$977,237.22
Typical High
$977,237.22
BCBS
Setting
Professional
Modifier
Global
Typical Low
$676,082.98
Median
$676,082.98
Typical High
$676,082.98
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$707,945.78
Typical High
$1,000,000.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$630,957.34
Median
$741,310.24
Typical High
$794,328.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$5,011.87
Select Health
Setting
Facility
Modifier
Global
Typical Low
$616,595.00
Median
$616,595.00
Typical High
$1,288,249.55
Select Health
Setting
Professional
Modifier
Global
Typical Low
$616,595.00
Median
$616,595.00
Typical High
$630,957.34
United
Setting
Professional
Modifier
Global
Typical Low
$14,125.38
Median
$645,654.23
Typical High
$954,992.59

Where Idaho 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.

Idaho· 2nd of 51

$630,957

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.