go back

Bladder Cancer Molecular Subtype Classifier

New Mexico 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?

$2,630

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $2,630 for this service. The price depends on where it is billed: about $2,630 from a physician practice, and about $3,467 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 5 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$2,630$1,479 to $2,630
FacilityA hospital or hospital-owned outpatient department$3,467$3,162 to $6,761

How much rates vary

Facilitymedian $3,467 · 10th to 90th $2,089 to $10,471Professionalmedian $2,630 · 10th to 90th $1,479 to $2,630
$2K$5K$10Kfacility $3,467professional $2,630

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$7,585.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,467.37
Typical High
$6,760.83
Providence
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,162.28
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,089.30

Where New Mexico 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.

New Mexico· 41st of 51

$2,630

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.