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Virginia 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?

$200

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $257 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$195$158 to $219
FacilityA hospital or hospital-owned outpatient department$257$200 to $380

How much rates vary

Facilitymedian $257 · 10th to 90th $178 to $776Professionalmedian $195 · 10th to 90th $155 to $295
$0.1$1$10$100$1K$10Kfacility $257professional $195

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
$199.53
Median
$758.58
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$229.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$954.99
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$338.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$229.09
Typical High
$371.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$177.83
Sentara
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$257.04
Typical High
$776.25
Sentara
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$257.04
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$575.44
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$398.11

Where Virginia 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.

Virginia· 17th of 51

$200

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.