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Sipuleucel-T (Provenge) Autologous Cell Infusion

Missouri 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?

$58,884

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $58,884 for this service. The price depends on where it is billed: about $58,884 from a physician practice, and about $77,625 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$58,884$56,234 to $77,625
FacilityA hospital or hospital-owned outpatient department$77,625$60,256 to $134,896

How much rates vary

Facilitymedian $77,625 · 10th to 90th $56,234 to $194,984Professionalmedian $58,884 · 10th to 90th $56,234 to $245,471
$50K$100K$200Kfacility $77,625professional $58,884

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
$77,624.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$57,543.99
Typical High
$67,608.30
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$58,884.37
Median
$75,857.76
Typical High
$194,984.46
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$70,794.58
Typical High
$77,624.71
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$61,659.50
Median
$61,659.50
Typical High
$128,824.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$70,794.58
Median
$123,026.88
Typical High
$144,543.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Medica
Setting
Facility
Modifier
None
Typical Low
$54,954.09
Median
$75,857.76
Typical High
$281,838.29
Medica
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$245,470.89
Typical High
$245,470.89
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
$50,118.72
Median
$58,884.37
Typical High
$66,069.34

Where Missouri 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.

Missouri· 10th of 51

$58,884

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.