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

New York 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 York, 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 $851,138 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 9 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$575,440 to $794,328
FacilityA hospital or hospital-owned outpatient department$851,138$616,595 to $1,230,269

How much rates vary

Facilitymedian $851,138 · 10th to 90th $588,844 to $1,348,963Professionalmedian $616,595 · 10th to 90th $489,779 to $1,148,154
$10$100$1K$10K$100K$1Mfacility $851,138professional $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
$616,595.00
Median
$851,138.04
Typical High
$1,445,439.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616,595.00
Median
$616,595.00
Typical High
$676,082.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$616,595.00
Median
$616,595.00
Typical High
$616,595.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537,031.80
Median
$562,341.33
Typical High
$676,082.98
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$575,439.94
Median
$954,992.59
Typical High
$2,238,721.14
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$524,807.46
Median
$616,595.00
Typical High
$1,071,519.31
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$489,778.82
Median
$489,778.82
Typical High
$489,778.82
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$489,778.82
Median
$489,778.82
Typical High
$489,778.82
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$489,778.82
Median
$489,778.82
Typical High
$501,187.23
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$741,310.24
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$562,341.33
Median
$630,957.34
Typical High
$676,082.98
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
$14,125.38
Median
$707,945.78
Typical High
$1,258,925.41
Univera
Setting
Facility
Modifier
Global
Typical Low
$489,778.82
Median
$489,778.82
Typical High
$588,843.66
Univera
Setting
Professional
Modifier
Global
Typical Low
$489,778.82
Median
$489,778.82
Typical High
$489,778.82

Where New York 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 York· 37th 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.