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Utah 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?

$195

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $158 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$200$158 to $240
FacilityA hospital or hospital-owned outpatient department$158$158 to $617

How much rates vary

Facilitymedian $158 · 10th to 90th $158 to $813Professionalmedian $200 · 10th to 90th $158 to $263
$200$500$1Kfacility $158professional $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
$158.49
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$186.21
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$660.69
Typical High
$1,000.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$234.42
Typical High
$323.59
Select Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Select Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$204.17
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$331.13

Where Utah 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.

Utah· 19th of 51

$195

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.