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Sipuleucel-T (Provenge) Autologous Cell Infusion

Tennessee 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 physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $56,234 for this service. Most negotiated rates run $56,234 to $60,256.

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.

How much rates vary

Facilitymedian $70,795 · 10th to 90th $54,954 to $93,325Professionalmedian $56,234 · 10th to 90th $56,234 to $239,883
$50K$100K$200Kfacility $70,795professional $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
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
None
Typical Low
$54,954.09
Median
$70,794.58
Typical High
$93,325.43
Cigna
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$239,883.29
Median
$239,883.29
Typical High
$239,883.29
United
Setting
Professional
Modifier
None
Typical Low
$51,286.14
Median
$56,234.13
Typical High
$63,095.73

Where Tennessee 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.

Tennessee· 24th 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.