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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 July 2026.

How much does BCR ABL1 Fusion Transcript Measurement cost?

$148

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $214 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$145$132 to $174
FacilityA hospital or hospital-owned outpatient department$214$132 to $513

How much rates vary

Facilitymedian $214 · 10th to 90th $132 to $550Professionalmedian $145 · 10th to 90th $110 to $339
$100$200$500facility $214professional $145

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
$131.83
Median
$288.40
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$616.60
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
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$213.80
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$102.33
Typical High
$213.80
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

Where North Carolina 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.

North Carolina· 37th of 51

$148

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.