go back

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

Rhode Island 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?

$645,654

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $645,654 for this service. The price depends on where it is billed: about $645,654 from a physician practice, and about $602,560 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 4 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$645,654$616,595 to $645,654
FacilityA hospital or hospital-owned outpatient department$602,560$562,341 to $1,202,264

How much rates vary

Facilitymedian $602,560 · 10th to 90th $562,341 to $1,995,262Professionalmedian $645,654 · 10th to 90th $616,595 to $676,083
$20K$50K$100K$200K$500K$1M$2Mfacility $602,560professional $645,654

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,202,264.43
Median
$1,995,262.31
Typical High
$1,995,262.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616,595.00
Median
$645,654.23
Typical High
$676,082.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$562,341.33
Median
$562,341.33
Typical High
$602,559.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562,341.33
Median
$562,341.33
Typical High
$562,341.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562,341.33
Median
$562,341.33
Typical High
$676,082.98
United
Setting
Facility
Modifier
Global
Typical Low
$616,595.00
Median
$616,595.00
Typical High
$1,096,478.20
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$549,540.87
Typical High
$1,122,018.45

Where Rhode Island 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.

Rhode Island· 1st of 51

$645,654

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.