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Nationwide rates for HCPCS Q9978

Netupitant 300 mg and Palonosetron 0.5 mg, oral

Rates data updated October 2026.

How much does HCPCS Q9978 cost?

$513

Typical negotiated rate. Nationwide, October 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $912 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 12 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$513$513 to $513
FacilityA hospital or hospital-owned outpatient department$912$525 to $2,399

How much rates vary

Facilitymedian $912 · 10th to 90th $513 to $2,399Professionalmedian $513 · 10th to 90th $513 to $537
$50$100$200$500$1K$2K$5Kfacility $912professional $513

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
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
BCBS
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$524.81
Typical High
$562.34
BCBS
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$151.36
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$6,456.54
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$512.86
Typical High
$831.76
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Medica
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$2,398.83
Typical High
$2,398.83
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$0.60
Median
$0.60
Typical High
$0.60
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$954.99
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$489.78
Typical High
$512.86

What it costs in each state

The same service costs 3981.1 times more in Nebraska than in Pennsylvania. 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.

Touch or drag across the chart to see any state's rate.

NE $2,399PA $0.60

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.