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BCR ABL1 Fusion Transcript Measurement

New York 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?

$138

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $295 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 9 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$110$81.28 to $155
FacilityA hospital or hospital-owned outpatient department$295$170 to $389

How much rates vary

Facilitymedian $295 · 10th to 90th $138 to $447Professionalmedian $110 · 10th to 90th $81 to $257
$100$200$500facility $295professional $110

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
$309.03
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$131.83
Typical High
$158.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$426.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$263.03
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$162.18
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$346.74
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$794.33
Typical High
$794.33
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$269.15
Typical High
$630.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$213.80
Typical High
$316.23
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$162.18
Typical High
$295.12
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$162.18
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$97.72
Typical High
$245.47
Univera
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$162.18
Typical High
$190.55
Univera
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$162.18
Typical High
$389.05

Where New York 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 York· 40th of 51

$138

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.