go back

Sipuleucel-T (Provenge) Autologous Cell Infusion

Wisconsin 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?

$57,544

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $57,544 for this service. The price depends on where it is billed: about $57,544 from a physician practice, and about $87,096 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 10 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$57,544$56,234 to $66,069
FacilityA hospital or hospital-owned outpatient department$87,096$57,544 to $134,896

How much rates vary

Facilitymedian $87,096 · 10th to 90th $54,954 to $169,824Professionalmedian $57,544 · 10th to 90th $56,234 to $95,499
$50K$100K$200Kfacility $87,096professional $57,544

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
$57,543.99
Median
$57,543.99
Typical High
$57,543.99
Aetna
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$57,543.99
Typical High
$95,499.26
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$104,712.85
Median
$112,201.85
Typical High
$125,892.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$70,794.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$81,283.05
Median
$131,825.67
Typical High
$169,824.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$83,176.38
DeanCare
Setting
Facility
Modifier
None
Typical Low
$38,904.51
Median
$54,954.09
Typical High
$123,026.88
DeanCare
Setting
Professional
Modifier
None
Typical Low
$61,659.50
Median
$61,659.50
Typical High
$69,183.10
Medica
Setting
Facility
Modifier
None
Typical Low
$38,904.51
Median
$56,234.13
Typical High
$123,026.88
Medica
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$66,069.34
Typical High
$245,470.89
Network Health
Setting
Facility
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$57,543.99
Network Health
Setting
Professional
Modifier
None
Typical Low
$58,884.37
Median
$66,069.34
Typical High
$66,069.34
Prevea360
Setting
Facility
Modifier
None
Typical Low
$38,904.51
Median
$54,954.09
Typical High
$123,026.88
Quartz
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$72,443.60
Typical High
$104,712.85
Quartz
Setting
Facility
Modifier
None
Typical Low
$93,325.43
Median
$169,824.37
Typical High
$169,824.37
Quartz
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Security Health
Setting
Professional
Modifier
None
Typical Low
$47,863.01
Median
$74,131.02
Typical High
$77,624.71
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
$56,234.13
Median
$60,255.96
Typical High
$70,794.58

Where Wisconsin 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.

Wisconsin· 12th of 51

$57,544

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.