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

North Carolina 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?

$602,560

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $602,560 for this service. The price depends on where it is billed: about $602,560 from a physician practice, and about $588,844 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$602,560$602,560 to $616,595
FacilityA hospital or hospital-owned outpatient department$588,844$501,187 to $724,436

How much rates vary

Facilitymedian $588,844 · 10th to 90th $501,187 to $1,000,000Professionalmedian $602,560 · 10th to 90th $501,187 to $660,693
$10$100$1K$10K$100K$1Mfacility $588,844professional $602,560

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
$501,187.23
Median
$676,082.98
Typical High
$724,435.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501,187.23
Median
$616,595.00
Typical High
$645,654.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$758,577.58
Median
$1,096,478.20
Typical High
$1,096,478.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602,559.59
Median
$602,559.59
Typical High
$660,693.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562,341.33
Median
$562,341.33
Typical High
$676,082.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$501,187.23
Median
$575,439.94
Typical High
$933,254.30
Medcost
Setting
Professional
Modifier
Global
Typical Low
$758,577.58
Median
$758,577.58
Typical High
$758,577.58
United
Setting
Facility
Modifier
Global
Typical Low
$616,595.00
Median
$1,023,292.99
Typical High
$1,047,128.55
United
Setting
Professional
Modifier
Global
Typical Low
$489,778.82
Median
$645,654.23
Typical High
$1,445,439.77
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,000,000.00
Median
$1,000,000.00
Typical High
$1,000,000.00
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,000,000.00
Median
$1,000,000.00
Typical High
$1,000,000.00

Where North Carolina 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.

North Carolina· 51st of 51

$602,560

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.