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BCR ABL1 Fusion Transcript Measurement

Kentucky 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?

$204

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $174 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 6 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$224$132 to $794
FacilityA hospital or hospital-owned outpatient department$174$135 to $389

How much rates vary

Facilitymedian $174 · 10th to 90th $135 to $2,455Professionalmedian $224 · 10th to 90th $120 to $794
$100$500$2K$10K$50Kfacility $174professional $224

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
$134.90
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$134.90
Typical High
$162.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$162.18
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$794.33
Typical High
$794.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$2,454.71
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$229.09
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$239.88
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$120.23
Typical High
$204.17

Where Kentucky 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.

Kentucky· 10th of 51

$204

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.