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Sipuleucel-T (Provenge) Autologous Cell Infusion

Ohio 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 Ohio, 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 $104,713 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 8 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 $60,256
FacilityA hospital or hospital-owned outpatient department$104,713$85,114 to $141,254

How much rates vary

Facilitymedian $104,713 · 10th to 90th $56,234 to $186,209Professionalmedian $56,234 · 10th to 90th $56,234 to $74,131
$50K$100K$200Kfacility $104,713professional $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
$154,881.66
Typical High
$190,546.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$61,659.50
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$60,255.96
Median
$97,723.72
Typical High
$169,824.37
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$79,432.82
CareSource
Setting
Facility
Modifier
None
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$54,954.09
CareSource
Setting
Professional
Modifier
None
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$74,131.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$54,954.09
Median
$120,226.44
Typical High
$186,208.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$66,069.34
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$54,954.09
Median
$120,226.44
Typical High
$162,181.01
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$66,069.34
Molina
Setting
Professional
Modifier
None
Typical Low
$54,954.09
Median
$56,234.13
Typical High
$83,176.38
SummaCare
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$58,884.37
Typical High
$69,183.10
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
$51,286.14
Median
$56,234.13
Typical High
$63,095.73

Where Ohio 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.

Ohio· 34th of 51

$56,234

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.