go back

Bladder Cancer Molecular Subtype Classifier

Massachusetts 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?

$3,467

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $3,467 for this service. The price depends on where it is billed: about $3,467 from a physician practice, and about $5,623 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$3,467$2,630 to $3,467
FacilityA hospital or hospital-owned outpatient department$5,623$3,467 to $9,772

How much rates vary

Facilitymedian $5,623 · 10th to 90th $2,455 to $10,233Professionalmedian $3,467 · 10th to 90th $2,089 to $5,248
$2K$5K$10Kfacility $5,623professional $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
$2,454.71
Median
$6,025.60
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,454.71
Typical High
$2,818.38
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$17,378.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,691.53
Typical High
$5,623.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,786.30
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$5,888.44
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,888.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$5,623.41
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$17,378.01
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,467.37
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,467.37
Typical High
$6,165.95

Where Massachusetts 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.

Massachusetts· 17th of 51

$3,467

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.