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Sipuleucel-T (Provenge) Autologous Cell Infusion

Idaho 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 negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $64,565 for this service. The price depends on where it is billed: about $63,096 from a physician practice, and about $72,444 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$63,096$56,234 to $69,183
FacilityA hospital or hospital-owned outpatient department$72,444$58,884 to $85,114

How much rates vary

Facilitymedian $72,444 · 10th to 90th $44,668 to $138,038Professionalmedian $63,096 · 10th to 90th $56,234 to $69,183
$1K$2K$5K$10K$20K$50K$100Kfacility $72,444professional $63,096

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
$69,183.10
Typical High
$69,183.10
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$38,018.94
Median
$74,131.02
Typical High
$138,038.43
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$61,659.50
Median
$64,565.42
Typical High
$67,608.30
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$40,738.03
Median
$42,657.95
Typical High
$44,668.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$77,624.71
Median
$79,432.82
Typical High
$141,253.75
Cigna
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Moda Health
Setting
Facility
Modifier
None
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$70,794.58
Moda Health
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$70,794.58
Molina
Setting
Professional
Modifier
None
Typical Low
$40,738.03
Median
$40,738.03
Typical High
$47,863.01
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$69,183.10
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$61,659.50
Median
$69,183.10
Typical High
$69,183.10
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$58,884.37
Median
$83,176.38
Typical High
$141,253.75
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$67,608.30
Typical High
$69,183.10
Select Health
Setting
Facility
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$117,489.76
Select Health
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$57,543.99
United
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$60,255.96

Where Idaho 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.

Idaho· 3rd 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.