go back

BCR ABL1 Fusion Transcript Measurement

New Jersey 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 New Jersey, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $339 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$132$110 to $166
FacilityA hospital or hospital-owned outpatient department$339$214 to $912

How much rates vary

Facilitymedian $339 · 10th to 90th $162 to $2,042Professionalmedian $132 · 10th to 90th $107 to $191
$100$500$2K$10Kfacility $339professional $132

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
$208.93
Median
$269.15
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$363.08
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$239.88
Typical High
$354.81
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$9,549.93
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$158.49
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$162.18
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$97.72
Typical High
$204.17

Where New Jersey 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.

New Jersey· 23rd 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.