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BCR ABL1 Fusion Transcript Measurement

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $398 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$162$151 to $162
FacilityA hospital or hospital-owned outpatient department$398$282 to $501

How much rates vary

Facilitymedian $398 · 10th to 90th $162 to $575Professionalmedian $162 · 10th to 90th $110 to $295
$100$200$500$1K$2K$5Kfacility $398professional $162

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
$141.25
Median
$281.84
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$141.25
Typical High
$151.36
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$120.23
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$134.90
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$199.53
Typical High
$251.19
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$275.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$331.13
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$120.23
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$162.18
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$162.18
Typical High
$380.19

Where Massachusetts 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.

Massachusetts· 19th 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.