go back

Bladder Cancer Molecular Subtype Classifier

Rhode Island 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?

$2,455

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $2,455 from a physician practice, and about $10,000 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 3 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$2,455$2,455 to $2,570
FacilityA hospital or hospital-owned outpatient department$10,000$7,586 to $15,849

How much rates vary

Facilitymedian $10,000 · 10th to 90th $4,169 to $15,849Professionalmedian $2,455 · 10th to 90th $2,089 to $3,467
$0.1$1$10$100$1K$10Kfacility $10,000professional $2,455

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
$10,000.00
Median
$15,848.93
Typical High
$15,848.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,570.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$7,585.78
Typical High
$15,848.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$5,011.87

Where Rhode Island 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.

Rhode Island· 45th of 51

$2,455

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.