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Bladder Cancer Molecular Subtype Classifier

South Dakota 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.

Facilitymedian $3,981 · 10th–90th $3,311$3,9810%20%40%10th$3,981Professionalmedian $3,467 · 10th–90th $2,344$8,1280%20%10th90th$3,467$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,981.07
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$4,570.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,388.44
Typical High
$6,456.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$17,378.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$8,128.31
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$4,570.88
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37