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Illinois rates for HCPCS G0498

Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion

Rates data updated July 2026.

How much does HCPCS G0498 cost?

$209

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $513 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$209$178 to $251
FacilityA hospital or hospital-owned outpatient department$513$295 to $977

How much rates vary

Facilitymedian $513 · 10th to 90th $200 to $1,175Professionalmedian $209 · 10th to 90th $158 to $316
$200$500$1K$2Kfacility $513professional $209

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
$199.53
Median
$512.86
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$186.21
Typical High
$263.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$117.49
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$512.86
Typical High
$3,162.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$213.80
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$676.08
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$407.38
Typical High
$977.24
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$331.13
Typical High
$354.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$371.54
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$794.33
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$263.03
Typical High
$416.87

Where Illinois sits

The same service costs 2.5 times more in North Carolina than in Rhode Island. 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.

Illinois· 11th of 51

$209

NC $398RI $158

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.