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Sipuleucel-T (Provenge) Autologous Cell Infusion

Nebraska 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 Nebraska, October 2026.

Insurers have agreed to pay about $63,096 for this service. The price depends on where it is billed: about $66,069 from a physician practice, and about $56,234 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$66,069$56,234 to $67,608
FacilityA hospital or hospital-owned outpatient department$56,234$53,703 to $61,660

How much rates vary

Facilitymedian $56,234 · 10th to 90th $45,709 to $72,444Professionalmedian $66,069 · 10th to 90th $56,234 to $83,176
$50K$100K$200Kfacility $56,234professional $66,069

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
$56,234.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$147,910.84
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$45,708.82
Median
$60,255.96
Typical High
$61,659.50
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$66,069.34
Median
$69,183.10
Typical High
$69,183.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$61,659.50
Median
$67,608.30
Typical High
$67,608.30
Medica
Setting
Facility
Modifier
None
Typical Low
$53,703.18
Median
$107,151.93
Typical High
$281,838.29
Medica
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$66,069.34
Typical High
$245,470.89
Midlands
Setting
Professional
Modifier
None
Typical Low
$61,659.50
Median
$67,608.30
Typical High
$67,608.30
Midlands
Setting
Professional
Modifier
None
Typical Low
$61,659.50
Median
$63,095.73
Typical High
$141,253.75
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
$53,703.18
Median
$56,234.13
Typical High
$75,857.76

Where Nebraska 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.

Nebraska· 5th 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.