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Sipuleucel-T (Provenge) Autologous Cell Infusion

Hawaii 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?

$64,565

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $64,565 for this service. Most negotiated rates run $56,234 to $66,069.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $64,565 · 10th to 90th $53,703 to $66,069
professional $64,565

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
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$61,659.50
Cigna
Setting
Professional
Modifier
None
Typical Low
$66,069.34
Median
$66,069.34
Typical High
$66,069.34
HMSA
Setting
Professional
Modifier
None
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$64,565.42
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$67,608.30
Typical High
$85,113.80
United
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$66,069.34
Typical High
$66,069.34
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$53,703.18

Where Hawaii 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.

Hawaii· 2nd of 51

$64,565

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.