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Bladder Cancer Molecular Subtype Classifier

Iowa rates for HCPCS 0016M

Assigns a bladder cancer to a molecular subtype, describing what kind of tumor it is at the level of gene activity. It measures the activity of 219 genes in preserved tumor tissue on a microarray and reports a single subtype classification rather than a list of gene readings.

Rates data updated July 2026.

How much does Bladder Cancer Molecular Subtype Classifier cost?

$3,802

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $3,467 from a physician practice, and about $6,166 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 8 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$3,467$2,089 to $4,571
FacilityA hospital or hospital-owned outpatient department$6,166$3,467 to $9,120

How much rates vary

Facilitymedian $6,166 · 10th to 90th $3,467 to $10,000Professionalmedian $3,467 · 10th to 90th $2,089 to $7,586
$2K$5K$10Kfacility $6,166professional $3,467

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
$3,467.37
Median
$8,317.64
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,168.69
Typical High
$4,570.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$4,570.88
Typical High
$6,309.57
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,168.69
Typical High
$8,912.51
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,467.37
Typical High
$14,125.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,570.88
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,801.89
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$8,912.51
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37

Where Iowa sits

The same service costs 4.2 times more in Alaska than in Delaware. 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.

Iowa· 12th of 51

$3,802

AK $7,762DE $1,862

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.