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Sipuleucel-T (Provenge) Autologous Cell Infusion

Kansas 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 July 2026.

How much does Provenge (sipuleucel-t) cost?

$56,234

Typical negotiated rate. In Kansas, July 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 $67,608 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 5 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$56,234$53,703 to $60,256
FacilityA hospital or hospital-owned outpatient department$67,608$60,256 to $77,625

How much rates vary

Facilitymedian $67,608 · 10th to 90th $56,234 to $83,176Professionalmedian $56,234 · 10th to 90th $53,703 to $77,625
$50K$100K$200Kfacility $67,608professional $56,234

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
$66,069.34
Median
$66,069.34
Typical High
$77,624.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$57,543.99
Typical High
$77,624.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$66,069.34
Median
$70,794.58
Typical High
$70,794.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$53,703.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70,794.58
Median
$79,432.82
Typical High
$257,039.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$70,794.58
Typical High
$91,201.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$58,884.37
Typical High
$245,470.89
United
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$60,255.96
United
Setting
Professional
Modifier
Global
Typical Low
$53,703.18
Median
$54,954.09
Typical High
$61,659.50

Where Kansas 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.

Kansas· 49th of 51

$56,234

MN $63,096NY $53,703

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.