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Starting An Extended Chemotherapy Infusion Via Pump

New York rates for HCPCS 96416

This service covers setting up and starting a chemotherapy infusion that will run continuously for more than about eight hours, using a portable or implantable pump the patient can wear or carry home. It includes preparing and connecting the pump so the medication is delivered gradually over an extended period. It's distinct from a shorter infusion completed entirely during an office visit.

Rates data updated July 2026.

How much does Starting An Extended Chemotherapy Infusion Via Pump cost?

$214

Typical physician fee. In New York, July 2026.

Insurers have agreed to pay about $214 for this service. Most negotiated rates run $162 to $263.

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 11 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $214 · 10th to 90th $129 to $468
$100$200$500$1K$2Kprofessional $214

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
Professional
Modifier
Global
Typical Low
$117.49
Median
$162.18
Typical High
$354.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$120.23
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$257.04
Typical High
$288.40
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$218.78
Typical High
$489.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$275.42
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$295.12
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$269.15
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$213.80
Typical High
$1,949.84
Univera
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$295.12

Where New York sits

The same service costs 2.0 times more in Minnesota than in Delaware. 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.

New York· 11th of 51

$214

MN $282DE $141

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.