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New Jersey 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?

$166

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $676 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$155 to $195
FacilityA hospital or hospital-owned outpatient department$676$158 to $1,230

How much rates vary

Facilitymedian $676 · 10th to 90th $158 to $1,413Professionalmedian $166 · 10th to 90th $132 to $219
$100$200$500$1Kfacility $676professional $166

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Ambetter
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$117.49
Typical High
$173.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$912.01
Cigna
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$426.58
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$1,122.02
Typical High
$1,548.82
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$269.15
United
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$1,380.38
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$154.88
Typical High
$245.47

Where New Jersey 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.

New Jersey· 42nd of 51

$166

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.