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Kentucky 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?

$170

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $282 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$170$158 to $200
FacilityA hospital or hospital-owned outpatient department$282$214 to $741

How much rates vary

Facilitymedian $282 · 10th to 90th $170 to $933Professionalmedian $170 · 10th to 90th $155 to $263
$200$500$1Kfacility $282professional $170

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
$169.82
Median
$478.63
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$169.82
Typical High
$229.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$316.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$213.80
Typical High
$263.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$199.53
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$933.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$223.87
Typical High
$363.08

Where Kentucky 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.

Kentucky· 44th of 51

$170

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.