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

Virginia 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 Virginia, 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 $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 8 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$588,844$0.04 to $912,011

How much rates vary

Facilitymedian $588,844 · 10th to 90th $0 to $1,380,384Professionalmedian $616,595 · 10th to 90th $616,595 to $794,328
$0.1$10$1K$100Kfacility $588,844professional $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
$1,380,384.26
Typical High
$1,698,243.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616,595.00
Median
$616,595.00
Typical High
$645,654.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.03
Typical High
$0.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$616,595.00
Median
$616,595.00
Typical High
$1,023,292.99
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$794,328.23
Median
$891,250.94
Typical High
$1,348,962.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562,341.33
Median
$562,341.33
Typical High
$676,082.98
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$524,807.46
Median
$602,559.59
Typical High
$645,654.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$588,843.66
Typical High
$1,023,292.99
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$2.63
Sentara
Setting
Facility
Modifier
Global
Typical Low
$588,843.66
Median
$707,945.78
Typical High
$912,010.84
Sentara
Setting
Professional
Modifier
Global
Typical Low
$588,843.66
Median
$707,945.78
Typical High
$912,010.84
United
Setting
Facility
Modifier
Global
Typical Low
$616,595.00
Median
$741,310.24
Typical High
$1,318,256.74
United
Setting
Professional
Modifier
Global
Typical Low
$14,125.38
Median
$602,559.59
Typical High
$870,963.59

Where Virginia 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.

Virginia· 42nd 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.