go back

Sipuleucel-T (Provenge) Autologous Cell Infusion

Texas 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.

Facilitymedian $64,565 · 10th–90th $54,954$204,1740%20%40%10th90th$64,565Professionalmedian $56,234 · 10th–90th $56,234$63,0960%50%90th$56,234$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$67,608.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$61,659.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$58,884.37
Median
$144,543.98
Typical High
$269,153.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63,095.73
Median
$63,095.73
Typical High
$63,095.73
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$54,954.09
Typical High
$54,954.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$131,825.67
Typical High
$380,189.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$281,838.29
Median
$281,838.29
Typical High
$281,838.29
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$239,883.29
Median
$239,883.29
Typical High
$239,883.29
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$95,499.26
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$53,703.18
Median
$60,255.96
Typical High
$70,794.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$38,904.51
Median
$54,954.09
Typical High
$64,565.42
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$58,884.37
Median
$100,000.00
Typical High
$208,929.61
Providence
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$54,954.09
Typical High
$97,723.72
Providence
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$61,659.50
United
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$56,234.13
Typical High
$93,325.43
United
Setting
Professional
Modifier
Global
Typical Low
$52,480.75
Median
$54,954.09
Typical High
$60,255.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$56,234.13
Typical High
$75,857.76