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Starting An Extended Chemotherapy Infusion Via Pump

Vermont 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 October 2026.

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

$195

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $195 for this service. Most negotiated rates run $195 to $224.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $490 · 10th to 90th $490 to $646Professionalmedian $195 · 10th to 90th $141 to $269
$100$200$500facility $490professional $195

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$141.25
Typical High
$257.04
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$630.96
Typical High
$724.44
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$194.98
Typical High
$204.17
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$194.98
Typical High
$363.08
United
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$199.53
Typical High
$251.19

Where Vermont sits

The same service costs 2.8 times more in Alaska than in Florida. 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· 20th of 51

$195

AK $339FL $123

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.