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Chemotherapy Into Spinal Fluid Via A Reservoir

Kentucky rates for HCPCS 96542

Cancer medicine is given straight into the fluid that surrounds the brain and spinal cord, through a small reservoir implanted under the skin that connects either to a fluid space inside the brain or to the fluid space around the spinal cord. Delivering it this way gets the drug past the barrier that keeps most medicines out of the nervous system. One or more drugs may be given at the same sitting.

Rates data updated July 2026.

How much does Chemotherapy Into Spinal Fluid Via A Reservoir cost?

$110

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $60.26 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 7 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$110$45.71 to $135
FacilityA hospital or hospital-owned outpatient department$60.26$39.81 to $117

How much rates vary

Facilitymedian $60 · 10th to 90th $40 to $251Professionalmedian $110 · 10th to 90th $40 to $186
$50$100$200$500facility $60professional $110

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
$39.81
Median
$117.49
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$109.65
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$109.65
Typical High
$186.21
CareSource
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$43.65
Typical High
$61.66
CareSource
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$47.86
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$138.04
Typical High
$1,023.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$95.50
Typical High
$190.55

Where Kentucky sits

The same service costs 2.2 times more in New York than in Michigan. 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.

Kentucky· 36th of 51

$110

NY $166MI $74.13

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.