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BCR ABL1 Fusion Transcript Measurement

North Carolina 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 June 2026.

Facilitymedian $240 · 10th–90th $132$5500%20%10th90th$240Professionalmedian $141 · 10th–90th $110$2040%20%10th90th$141$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$512.86
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$354.81
Typical High
$741.31
Medcost
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$158.49
Typical High
$251.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$204.17
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$102.33
Typical High
$223.87
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,230.27