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

Pennsylvania 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 Pennsylvania, 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 $933,254 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 7 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 $630,957
FacilityA hospital or hospital-owned outpatient department$933,254$616,595 to $1,202,264

How much rates vary

Facilitymedian $933,254 · 10th to 90th $616,595 to $1,737,801Professionalmedian $616,595 · 10th to 90th $616,595 to $707,946
$100K$200K$500K$1M$2Mfacility $933,254professional $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
$933,254.30
Typical High
$1,778,279.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616,595.00
Median
$616,595.00
Typical High
$676,082.98
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$660,693.45
Typical High
$794,328.23
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$630,957.34
Median
$630,957.34
Typical High
$630,957.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537,031.80
Median
$562,341.33
Typical High
$676,082.98
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$575,439.94
Median
$616,595.00
Typical High
$977,237.22
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$616,595.00
Median
$616,595.00
Typical High
$616,595.00
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$616,595.00
Median
$812,830.52
Typical High
$1,230,268.77
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$616,595.00
Median
$933,254.30
Typical High
$1,513,561.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$616,595.00
Median
$616,595.00
Typical High
$741,310.24
United
Setting
Facility
Modifier
Global
Typical Low
$616,595.00
Median
$616,595.00
Typical High
$616,595.00
United
Setting
Professional
Modifier
Global
Typical Low
$489,778.82
Median
$602,559.59
Typical High
$1,230,268.77

Where Pennsylvania 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.

Pennsylvania· 49th 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.