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Bladder Cancer Molecular Subtype Classifier

North Carolina 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?

$3,162

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $3,162 for this service. The price depends on where it is billed: about $3,162 from a physician practice, and about $4,074 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$3,162$2,512 to $3,467
FacilityA hospital or hospital-owned outpatient department$4,074$3,090 to $6,026

How much rates vary

Facilitymedian $4,074 · 10th to 90th $2,692 to $10,715Professionalmedian $3,162 · 10th to 90th $2,291 to $6,310
$2K$5K$10Kfacility $4,074professional $3,162

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
$6,025.60
Median
$6,025.60
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,818.38
Typical High
$2,818.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$7,762.47
Typical High
$11,220.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,467.37
Typical High
$6,309.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$9,120.11
Typical High
$15,848.93
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,162.28
Typical High
$4,897.79
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,801.89
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$4,073.80
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$3,715.35
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$17,378.01
Median
$17,378.01
Typical High
$26,302.68

Where North Carolina 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.

North Carolina· 31st of 51

$3,162

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.