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Unlisted Chemotherapy Service

Nebraska 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?

$0.83

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $0.83 for this service. The price depends on where it is billed: about $0.81 from a physician practice, and about $708 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.81$0.68 to $5,754
FacilityA hospital or hospital-owned outpatient department$708$79.43 to $933

How much rates vary

Facilitymedian $708 · 10th to 90th $58 to $1,622Professionalmedian $1 · 10th to 90th $0 to $5,754
$1$10$100$1Kfacility $708professional $1

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
$0.31
Median
$0.31
Typical High
$0.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.31
Median
$0.31
Typical High
$0.38
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$870.96
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.65
Median
$0.74
Typical High
$0.85
Medica
Setting
Facility
Modifier
None
Typical Low
$0.59
Median
$67.61
Typical High
$346.74
Medica
Setting
Professional
Modifier
None
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,754.40
Midlands
Setting
Professional
Modifier
None
Typical Low
$0.68
Median
$0.83
Typical High
$0.85
Midlands
Setting
Professional
Modifier
None
Typical Low
$0.65
Median
$0.76
Typical High
$0.85
United
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$61.66
Typical High
$79.43
4 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.16
Median
$0.16
Typical High
$0.19
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

Where Nebraska 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.

Nebraska· 8th of 51

$0.83

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.