go back

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

New Mexico 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 negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $616,595 for this service. The price depends on where it is billed: about $616,595 from a physician practice, and about $616,595 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 3 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$616,595$616,595 to $645,654
FacilityA hospital or hospital-owned outpatient department$616,595$562,341 to $741,310

How much rates vary

Facilitymedian $616,595 · 10th to 90th $3 to $1,023,293Professionalmedian $616,595 · 10th to 90th $616,595 to $776,247
$10$100$1K$10K$100K$1Mfacility $616,595professional $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
Facility
Modifier
Global
Typical Low
$977,237.22
Median
$1,778,279.41
Typical High
$2,137,962.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616,595.00
Median
$616,595.00
Typical High
$776,247.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$575,439.94
Typical High
$933,254.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$691,830.97
Median
$691,830.97
Typical High
$1,023,292.99
United
Setting
Facility
Modifier
Global
Typical Low
$616,595.00
Median
$616,595.00
Typical High
$1,023,292.99
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$549,540.87
Typical High
$1,258,925.41

Where New Mexico 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.

New Mexico· 33rd 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.