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Sipuleucel-T (Provenge) Autologous Cell Infusion

Virginia 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?

$56,234

Typical negotiated rate. In Virginia, July 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 $64,565 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 8 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$56,234$56,234 to $58,884
FacilityA hospital or hospital-owned outpatient department$64,565$56,234 to $102,329

How much rates vary

Facilitymedian $64,565 · 10th to 90th $54,954 to $141,254Professionalmedian $56,234 · 10th to 90th $56,234 to $69,183
$50K$100Kfacility $64,565professional $56,234

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
$58,884.37
Typical High
$58,884.37
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
$107,151.93
Typical High
$190,546.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$93,325.43
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58,884.37
Median
$107,151.93
Typical High
$141,253.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$47,863.01
Median
$56,234.13
Typical High
$70,794.58
Medcost
Setting
Professional
Modifier
Global
Typical Low
$39,810.72
Median
$39,810.72
Typical High
$39,810.72
Medcost
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$57,543.99
Typical High
$93,325.43
Medcost
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$74,131.02
Sentara
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$74,131.02
Typical High
$83,176.38
Sentara
Setting
Professional
Modifier
Global
Typical Low
$53,703.18
Median
$74,131.02
Typical High
$83,176.38
United
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$120,226.44
United
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$57,543.99
Typical High
$64,565.42

Where Virginia 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.

Virginia· 29th of 51

$56,234

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.