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BCR ABL1 Fusion Transcript Measurement

Illinois 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. In Illinois, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $135 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 5 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$135$126 to $174
FacilityA hospital or hospital-owned outpatient department$251$170 to $339

How much rates vary

Facilitymedian $251 · 10th to 90th $135 to $407Professionalmedian $135 · 10th to 90th $110 to $295
$100$200$500facility $251professional $135

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
$251.19
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$134.90
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$223.87
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$199.53
Typical High
$239.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$112.20
Typical High
$194.98

Where Illinois 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.

Illinois· 22nd of 51

$162

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.