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BCR ABL1 Fusion Transcript Measurement

Iowa 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?

$158

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $251 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$141$126 to $191
FacilityA hospital or hospital-owned outpatient department$251$162 to $417

How much rates vary

Facilitymedian $251 · 10th to 90th $126 to $479Professionalmedian $141 · 10th to 90th $100 to $389
$100$200$500facility $251professional $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
$125.89
Median
$389.05
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$389.05
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$213.80
Typical High
$295.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$213.80
Typical High
$416.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$194.98
Typical High
$794.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$199.53
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$177.83
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$109.65
Typical High
$416.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18

Where Iowa sits

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.

Iowa· 28th of 51

$158

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.