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Sipuleucel-T (Provenge) Autologous Cell Infusion

New Jersey 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?

$56,234

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $56,234 for this service. The price depends on where it is billed: about $56,234 from a physician practice, and about $25,704 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$56,234$56,234 to $56,234
FacilityA hospital or hospital-owned outpatient department$25,704$15,488 to $74,131

How much rates vary

Facilitymedian $25,704 · 10th to 90th $9,550 to $154,882Professionalmedian $56,234 · 10th to 90th $54,954 to $63,096
$5K$10K$20K$50K$100K$200Kfacility $25,704professional $56,234

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
$56,234.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$54,954.09
Median
$63,095.73
Typical High
$83,176.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$67,608.30
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$75,857.76
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$19,952.62
Typical High
$190,546.07
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$54,954.09
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
$63,095.73

Where New Jersey 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.

New Jersey· 30th of 51

$56,234

AK $69,183ME $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.