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Unlisted Chemotherapy Service

Maryland rates for HCPCS 96549

Used when the way a chemotherapy treatment was given does not match any standard named service. The provider files a written description of what was given and how, and it is compared with similar named services. Because it stands in for work with no standard name, what was actually done differs from patient to patient.

Rates data updated October 2026.

How much does Unlisted Chemotherapy Service cost?

$0.35

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $0.35 for this service. Most negotiated rates run $0.32 to $0.38.

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

Professionalmedian $0 · 10th to 90th $0 to $0
$0.5$1professional $0

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
Professional
Modifier
None
Typical Low
$0.32
Median
$0.35
Typical High
$0.35
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.16
Median
$0.16
Typical High
$0.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.06
Median
$0.06
Typical High
$0.07
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.05
Median
$0.05
Typical High
$0.05
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.03
Median
$0.03
Typical High
$0.04
CareFirst
Setting
Professional
Modifier
None
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.33
Median
$0.38
Typical High
$0.52
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$0.34
Median
$0.38
Typical High
$0.54

Where Maryland sits

The same service costs 645.7 times more in Oklahoma 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.

Maryland· 43rd of 51

$0.35

OK $166FL $0.26

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.