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Bladder Cancer Molecular Subtype Classifier

Virginia 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?

$2,951

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $2,951 for this service. The price depends on where it is billed: about $2,455 from a physician practice, and about $5,248 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$2,455$200 to $2,951
FacilityA hospital or hospital-owned outpatient department$5,248$3,467 to $7,762

How much rates vary

Facilitymedian $5,248 · 10th to 90th $2,630 to $14,791Professionalmedian $2,455 · 10th to 90th $200 to $4,677
$200$500$1K$2K$5K$10K$20Kfacility $5,248professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,606.93
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,951.21
Typical High
$6,606.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$18,197.01
Typical High
$21,877.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$338.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,019.95
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$8,709.64
Typical High
$17,782.79
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,801.89
Typical High
$4,897.79
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,467.37
Typical High
$5,888.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$7,244.36
Sentara
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,981.07
Typical High
$7,244.36
Sentara
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,981.07
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,467.37
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,737.80
Typical High
$3,981.07

Where Virginia 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.

Virginia· 37th of 51

$2,951

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.