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Sipuleucel-T (Provenge) Autologous Cell Infusion

North Carolina 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.

Facilitymedian $61,660 · 10th–90th $53,703$104,7130%20%40%10th90th$61,660Professionalmedian $57,544 · 10th–90th $41,687$63,0960%50%10th90th$57,544$100.0$500.0$2.0K$10.0K$50.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$95,499.26
Typical High
$104,712.85
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53,703.18
Median
$56,234.13
Typical High
$66,069.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$89,125.09
Typical High
$107,151.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$41,686.94
Median
$57,543.99
Typical High
$63,095.73
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$91,201.08
Typical High
$131,825.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$77,624.71
Medcost
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$57,543.99
Typical High
$91,201.08
Medcost
Setting
Professional
Modifier
Global
Typical Low
$70,794.58
Median
$70,794.58
Typical High
$70,794.58
United
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$91,201.08
Typical High
$100,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$52,480.75
Median
$57,543.99
Typical High
$60,255.96
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$281,838.29
Median
$281,838.29
Typical High
$281,838.29
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$239,883.29
Median
$239,883.29
Typical High
$239,883.29