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Bladder Cancer Molecular Subtype Classifier

South 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?

$3,020

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $3,020 for this service. The price depends on where it is billed: about $2,692 from a physician practice, and about $8,511 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$2,692$2,630 to $3,020
FacilityA hospital or hospital-owned outpatient department$8,511$3,631 to $11,220

How much rates vary

Facilitymedian $8,511 · 10th to 90th $2,692 to $16,596Professionalmedian $2,692 · 10th to 90th $1,738 to $3,631
$2K$5K$10K$20Kfacility $8,511professional $2,692

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
$6,456.54
Median
$11,220.18
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,818.38
Typical High
$3,019.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,073.80
Typical High
$4,677.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,715.35
Typical High
$7,079.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$11,481.54
Typical High
$19,952.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,162.28
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,467.37
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$3,467.37

Where South 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.

South Carolina· 33rd of 51

$3,020

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.