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Bladder Cancer Molecular Subtype Classifier

Utah 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?

$3,162

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $3,162 for this service. The price depends on where it is billed: about $3,162 from a physician practice, and about $16,982 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 6 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$3,162$2,951 to $3,162
FacilityA hospital or hospital-owned outpatient department$16,982$3,467 to $16,982

How much rates vary

Facilitymedian $16,982 · 10th to 90th $3,162 to $21,878Professionalmedian $3,162 · 10th to 90th $1,479 to $3,548
$2K$5K$10K$20Kfacility $16,982professional $3,162

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
$3,162.28
Median
$16,982.44
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,630.78
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,981.07
Typical High
$4,168.69
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,467.37
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,090.30
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$3,467.37

Where Utah 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.

Utah· 32nd of 51

$3,162

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.