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Michigan 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 Michigan, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $724 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 8 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$200$158 to $269
FacilityA hospital or hospital-owned outpatient department$724$575 to $759

How much rates vary

Facilitymedian $724 · 10th to 90th $240 to $851Professionalmedian $200 · 10th to 90th $158 to $339
$200$500$1Kfacility $724professional $200

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
$239.88
Median
$724.44
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$181.97
Typical High
$239.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$162.18
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$707.95
Typical High
$1,445.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$316.23
Typical High
$338.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$239.88
CareSource
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$229.09
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$281.84
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$426.58
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$181.97
Typical High
$239.88
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$309.03
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$549.54
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$234.42
Typical High
$354.81

Where Michigan 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.

Michigan· 13th 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.