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North Carolina 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?

$398

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $263 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$398$339 to $575
FacilityA hospital or hospital-owned outpatient department$263$174 to $479

How much rates vary

Facilitymedian $263 · 10th to 90th $158 to $759Professionalmedian $398 · 10th to 90th $174 to $631
$50$100$200$500$1Kfacility $263professional $398

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
$48.98
Median
$478.63
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$173.78
Typical High
$263.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$239.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$331.13
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$389.05
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,737.80

Where North Carolina 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.

North Carolina· 1st of 51

$398

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.