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Sipuleucel-T (Provenge) Autologous Cell Infusion

California rates for HCPCS Q2043

Sipuleucel-T, minimum of 50 million autologous CD54+ cells activated with PAP-GM-CSF, including leukapheresis and all other preparatory procedures, per infusion

Rates data updated October 2026.

How much does Provenge (sipuleucel-t) cost?

$56,234

Typical negotiated rate. In California, October 2026.

Insurers have agreed to pay about $56,234 for this service. The price depends on where it is billed: about $56,234 from a physician practice, and about $79,433 from a hospital or other facility.

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 12 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$56,234$56,234 to $60,256
FacilityA hospital or hospital-owned outpatient department$79,433$61,660 to $112,202

How much rates vary

Facilitymedian $79,433 · 10th to 90th $95 to $154,882Professionalmedian $56,234 · 10th to 90th $56,234 to $107,152
$100$1K$10K$100Kfacility $79,433professional $56,234

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$60,255.96
Median
$95,499.26
Typical High
$190,546.07
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$70,794.58
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$66,069.34
Typical High
$95,499.26
Blue Shield
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$67,608.30
Central California Alliance for Health
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$61,659.50
Typical High
$61,659.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$56,234.13
Median
$102,329.30
Typical High
$141,253.75
Cigna
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Contra Costa Health
Setting
Professional
Modifier
None
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$64,565.42
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$50,118.72
Median
$56,234.13
Typical High
$97,723.72
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$239,883.29
Median
$239,883.29
Typical High
$239,883.29
Molina
Setting
Professional
Modifier
None
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$54,954.09
Providence
Setting
Facility
Modifier
None
Typical Low
$56,234.13
Median
$100,000.00
Typical High
$154,881.66
Providence
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Sutter Health Plus
Setting
Professional
Modifier
None
Typical Low
$112,201.85
Median
$112,201.85
Typical High
$112,201.85
United
Setting
Facility
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
United
Setting
Professional
Modifier
None
Typical Low
$53,703.18
Median
$56,234.13
Typical High
$67,608.30

Where California 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.

California· 25th of 51

$56,234

AK $69,183WV $56,234

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.