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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 October 2026.

How much does HCPCS G0498 cost?

$214

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $490 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$214$200 to $257
FacilityA hospital or hospital-owned outpatient department$490$427 to $977

How much rates vary

Facilitymedian $490 · 10th to 90th $200 to $2,455Professionalmedian $214 · 10th to 90th $166 to $331
$200$500$1K$2K$5Kfacility $490professional $214

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
$177.83
Median
$199.53
Typical High
$295.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$199.53
Typical High
$302.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$87.10
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$35.48
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$26.30
Median
$30.20
Typical High
$30.20
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$17.78
Median
$19.95
Typical High
$19.95
Ambetter
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$512.86
Typical High
$3,467.37
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$213.80
Typical High
$269.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$676.08
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Hally Health
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$275.42
Typical High
$602.56
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$331.13
Typical High
$354.81
Molina
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$371.54
Typical High
$398.11
United
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$891.25
United
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$257.04
Typical High
$426.58

Where Illinois sits

The same service costs 3.2 times more in Alaska than in Connecticut. 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· 24th of 51

$214

AK $501CT $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.