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Sipuleucel-T (Provenge) Autologous Cell Infusion

Illinois 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 Illinois, 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 $114,815 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 6 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$114,815$77,625 to $177,828

How much rates vary

Facilitymedian $114,815 · 10th to 90th $56,234 to $257,040Professionalmedian $56,234 · 10th to 90th $56,234 to $63,096
$50K$100K$200K$500Kfacility $114,815professional $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
$50,118.72
Median
$56,234.13
Typical High
$208,929.61
Aetna
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$104,712.85
Median
$218,776.16
Typical High
$436,515.83
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$67,608.30
Median
$72,443.60
Typical High
$83,176.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$77,624.71
Median
$112,201.85
Typical High
$144,543.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$57,543.99
Hally Health
Setting
Professional
Modifier
None
Typical Low
$46,773.51
Median
$56,234.13
Typical High
$77,624.71
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$72,443.60
Median
$72,443.60
Typical High
$72,443.60
Molina
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$70,794.58
Typical High
$83,176.38
United
Setting
Facility
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$125,892.54
United
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$61,659.50
Typical High
$64,565.42

Where Illinois 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.

Illinois· 38th 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.