go back

Sipuleucel-T (Provenge) Autologous Cell Infusion

Vermont 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 physician fee. In Vermont, July 2026.

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

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $63,096 · 10th to 90th $61,660 to $63,096Professionalmedian $56,234 · 10th to 90th $56,234 to $56,234
facility $63,096professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63,095.73
Median
$63,095.73
Typical High
$63,095.73
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$63,095.73
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$69,183.10
Median
$69,183.10
Typical High
$69,183.10
United
Setting
Facility
Modifier
Global
Typical Low
$61,659.50
Median
$61,659.50
Typical High
$61,659.50
United
Setting
Professional
Modifier
Global
Typical Low
$53,703.18
Median
$57,543.99
Typical High
$72,443.60

Where Vermont 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.

Vermont· 35th 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.