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Sipuleucel-T (Provenge) Autologous Cell Infusion

Maine 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 physician fee. In Maine, July 2026.

Insurers have agreed to pay about $56,234 for this service. Most negotiated rates run $56,234 to $56,234.

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.

How much rates vary

Facilitymedian $67,608 · 10th to 90th $54,954 to $177,828Professionalmedian $56,234 · 10th to 90th $56,234 to $58,884
$50K$100Kfacility $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
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
$54,954.09
Median
$66,069.34
Typical High
$177,827.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$58,884.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$79,432.82
Typical High
$162,181.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$58,884.37
United
Setting
Professional
Modifier
Global
Typical Low
$51,286.14
Median
$54,954.09
Typical High
$67,608.30

Where Maine 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.

Maine· 16th 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.