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Bladder Cancer Molecular Subtype Classifier

Kentucky 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?

$2,089

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $5,129 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 6 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$200 to $2,818
FacilityA hospital or hospital-owned outpatient department$5,129$3,467 to $8,318

How much rates vary

Facilitymedian $5,129 · 10th to 90th $2,884 to $56,234Professionalmedian $200 · 10th to 90th $170 to $4,571
$200$1K$5K$20K$100Kfacility $5,129professional $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
$2,884.03
Median
$4,365.16
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,235.94
Typical High
$4,786.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$199.53
CareSource
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$46,773.51
Typical High
$87,096.36
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,897.79
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$5,128.61
Typical High
$8,317.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$16,982.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$3,467.37

Where Kentucky 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.

Kentucky· 47th of 51

$2,089

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.