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Texas 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?

$166

Typical negotiated rate. In Texas, July 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 $363 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 12 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$166$115 to $195
FacilityA hospital or hospital-owned outpatient department$363$200 to $813

How much rates vary

Facilitymedian $363 · 10th to 90th $158 to $1,175Professionalmedian $166 · 10th to 90th $110 to $245
$100$200$500$1K$2Kfacility $363professional $166

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
$151.36
Median
$194.98
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$239.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$190.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$812.83
Typical High
$1,513.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$109.65
Typical High
$109.65
Christus
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,737.80
Typical High
$1,737.80
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$218.78
Typical High
$389.05
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$134.90
Typical High
$165.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$758.58
Typical High
$912.01
Providence
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$218.78
Typical High
$389.05
Providence
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$524.81
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$218.78
Typical High
$363.08
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$177.83

Where Texas 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.

Texas· 45th of 51

$166

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.