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Bladder Cancer Molecular Subtype Classifier

Washington 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 $3,890 · 10th–90th $3,467$19,0550%20%40%10th90th$3,890Professionalmedian $3,162 · 10th–90th $1,950$3,8020%20%10th90th$3,162$2.0K$5.0K$10.0K$20.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$15,848.93
Typical High
$34,673.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,630.27
Typical High
$3,388.44
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,128.61
Typical High
$6,918.31
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,467.37
Typical High
$4,570.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$7,762.47
Typical High
$8,912.51
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$16,218.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,467.37
Typical High
$5,888.44
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,981.07
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,623.41
Typical High
$10,715.19
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$4,168.69
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$5,248.07
Typical High
$7,943.28
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,467.37
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,168.69
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$3,890.45
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$3,467.37
Typical High
$6,309.57