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Sipuleucel-T (Provenge) Autologous Cell Infusion

Montana 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?

$60,256

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $60,256 for this service. The price depends on where it is billed: about $60,256 from a physician practice, and about $69,183 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$60,256$56,234 to $64,565
FacilityA hospital or hospital-owned outpatient department$69,183$64,565 to $69,183

How much rates vary

Facilitymedian $69,183 · 10th to 90th $56,234 to $97,724Professionalmedian $60,256 · 10th to 90th $79 to $69,183
$100$1K$10K$100Kfacility $69,183professional $60,256

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
Professional
Modifier
None
Typical Low
$56,234.13
Median
$61,659.50
Typical High
$69,183.10
Cigna
Setting
Facility
Modifier
None
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$141,253.75
Cigna
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$64,565.42
Typical High
$64,565.42
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$32,359.37
Median
$69,183.10
Typical High
$69,183.10
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$69,183.10
Median
$69,183.10
Typical High
$75,857.76
Providence
Setting
Facility
Modifier
None
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$141,253.75
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$60,255.96
Typical High
$64,565.42
United
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13

Where Montana 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.

Montana· 8th of 51

$60,256

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.