go back

Sipuleucel-T (Provenge) Autologous Cell Infusion

Kentucky 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.

Facilitymedian $66,069 · 10th–90th $63,096$89,1250%50%10th90th$66,069Professionalmedian $56,234 · 10th–90th $56,234$58,8840%50%90th$56,234$10.0K$20.0K$50.0K$100.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$58,884.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$63,095.73
Median
$66,069.34
Typical High
$95,499.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$89,125.09
CareSource
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$57,543.99
Typical High
$77,624.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74,131.02
Median
$74,131.02
Typical High
$79,432.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$239,883.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$54,954.09
Typical High
$58,884.37
United
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
United
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$57,543.99
Typical High
$60,255.96