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Sipuleucel-T (Provenge) Autologous Cell Infusion

New York 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.

How much does Provenge (sipuleucel-t) cost?

$53,703

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $53,703 for this service. The price depends on where it is billed: about $53,703 from a physician practice, and about $56,234 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$53,703$52,481 to $56,234
FacilityA hospital or hospital-owned outpatient department$56,234$56,234 to $61,660

How much rates vary

Facilitymedian $56,234 · 10th to 90th $54,954 to $83,176Professionalmedian $53,703 · 10th to 90th $52,481 to $64,565
$50K$100K$200Kfacility $56,234professional $53,703

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$57,543.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$58,884.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$58,884.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$52,480.75
Median
$52,480.75
Typical High
$54,954.09
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$52,480.75
Median
$52,480.75
Typical High
$52,480.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$74,131.02
Typical High
$81,283.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$63,095.73
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$52,480.75
Median
$69,183.10
Typical High
$190,546.07
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$56,234.13
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$56,234.13
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$56,234.13
Typical High
$56,234.13
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$141,253.75
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$60,255.96
Typical High
$69,183.10
United
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$93,325.43
United
Setting
Professional
Modifier
Global
Typical Low
$52,480.75
Median
$53,703.18
Typical High
$67,608.30
Univera
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$64,565.42
Univera
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$56,234.13
Typical High
$56,234.13

Where New York 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 York· 51st of 51

$53,703

MN $63,096NY $53,703

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.