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Bladder Cancer Molecular Subtype Classifier

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $6,310 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$912$219 to $2,951
FacilityA hospital or hospital-owned outpatient department$6,310$3,715 to $7,762

How much rates vary

Facilitymedian $6,310 · 10th to 90th $3,311 to $8,710Professionalmedian $912 · 10th to 90th $200 to $4,898
$200$500$1K$2K$5K$10K$20Kfacility $6,310professional $912

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
$3,311.31
Median
$6,606.93
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,818.38
Typical High
$7,762.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$245.47
Typical High
$4,365.16
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$41,686.94
Typical High
$72,443.60
CareSource
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$54,954.09
Typical High
$95,499.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$4,570.88
Typical High
$17,782.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$16,982.44
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,570.88
Typical High
$19,498.45
Molina
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,801.89
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,467.37
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$3,981.07

Where Ohio 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.

Ohio· 48th 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.