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BCR ABL1 Fusion Transcript Measurement

Nationwide rates for HCPCS 0016U

Tracks how much of the BCR-ABL1 abnormality remains in someone being treated for a blood cancer such as chronic myeloid leukemia, which shows how well treatment is working. The test measures the amount of the fused BCR-ABL1 message in RNA and covers both the major and the minor breakpoint forms. Blood or a bone-marrow sample can be used.

Rates data updated July 2026.

How much does BCR ABL1 Fusion Transcript Measurement cost?

$162

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $245 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 64 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$141$120 to $174
FacilityA hospital or hospital-owned outpatient department$245$162 to $407

How much rates vary

Facilitymedian $245 · 10th to 90th $138 to $724Professionalmedian $141 · 10th to 90th $87 to $309
$100$200$500$1Kfacility $245professional $141

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
$134.90
Median
$269.15
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$190.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$223.87
Typical High
$758.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$331.13
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$239.88
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$162.18
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$97.72
Typical High
$223.87

What it costs in each state

The same service costs 3.5 times more in Alaska than in Nebraska. 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.

Touch or drag across the chart to see any state's rate.

AK $372NE $107

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.