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Sipuleucel-T (Provenge) Autologous Cell Infusion

Michigan 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?

$63,096

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $63,096 for this service. The price depends on where it is billed: about $63,096 from a physician practice, and about $144,544 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$63,096$57,544 to $63,096
FacilityA hospital or hospital-owned outpatient department$144,544$87,096 to $208,930

How much rates vary

Facilitymedian $144,544 · 10th to 90th $63,096 to $275,423Professionalmedian $63,096 · 10th to 90th $56,234 to $72,444
$100K$200K$500Kfacility $144,544professional $63,096

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
$57,543.99
Median
$57,543.99
Typical High
$57,543.99
Aetna
Setting
Professional
Modifier
None
Typical Low
$57,543.99
Median
$57,543.99
Typical High
$57,543.99
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$77,624.71
Median
$158,489.32
Typical High
$281,838.29
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$60,255.96
Median
$63,095.73
Typical High
$63,095.73
BCBS Michigan
Setting
Professional
Modifier
JW · Drug discarded
Typical Low
$57,543.99
Median
$60,255.96
Typical High
$60,255.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$57,543.99
Median
$83,176.38
Typical High
$165,958.69
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$57,543.99
Typical High
$74,131.02
Priority Health
Setting
Professional
Modifier
None
Typical Low
$53,703.18
Median
$56,234.13
Typical High
$56,234.13
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
$63,095.73
Typical High
$66,069.34

Where Michigan 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.

Michigan· 4th of 51

$63,096

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.