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BCR ABL1 Fusion Transcript Measurement

Ohio 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?

$214

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $209 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$224$132 to $794
FacilityA hospital or hospital-owned outpatient department$209$162 to $339

How much rates vary

Facilitymedian $209 · 10th to 90th $155 to $389Professionalmedian $224 · 10th to 90th $107 to $1,122
$100$200$500$1Kfacility $209professional $224

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
$154.88
Median
$295.12
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$346.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$302.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$794.33
Typical High
$1,445.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$2,290.87
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$2,570.40
Typical High
$4,570.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$213.80
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$239.88
Typical High
$794.33
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$213.80
Typical High
$912.01
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$181.97
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$162.18
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$97.72
Typical High
$204.17

Where Ohio 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.

Ohio· 7th of 51

$214

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.