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Sipuleucel-T (Provenge) Autologous Cell Infusion

Massachusetts 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 Massachusetts, 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 $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$56,234$56,234 to $64,565
FacilityA hospital or hospital-owned outpatient department$72,444$56,234 to $91,201

How much rates vary

Facilitymedian $72,444 · 10th to 90th $53,703 to $141,254Professionalmedian $56,234 · 10th to 90th $56,234 to $239,883
$100$1K$10K$100Kfacility $72,444professional $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
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$53,703.18
Median
$61,659.50
Typical High
$181,970.09
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$60,255.96
Typical High
$239,883.29
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$56,234.13
Median
$63,095.73
Typical High
$114,815.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$54,954.09
Median
$100,000.00
Typical High
$245,470.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$77,624.71
Typical High
$91,201.08
Fallon Health
Setting
Professional
Modifier
None
Typical Low
$77,624.71
Median
$77,624.71
Typical High
$91,201.08
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$60,255.96
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$53,703.18
Median
$61,659.50
Typical High
$181,970.09
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$60,255.96
Typical High
$239,883.29
United
Setting
Facility
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
United
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$63,095.73
Well Sense
Setting
Facility
Modifier
None
Typical Low
$61,659.50
Median
$77,624.71
Typical High
$128,824.96
Well Sense
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$75,857.76

Where Massachusetts 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.

Massachusetts· 31st 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.