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BCR ABL1 Fusion Transcript Measurement

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $347 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$132$120 to $138
FacilityA hospital or hospital-owned outpatient department$347$200 to $447

How much rates vary

Facilitymedian $347 · 10th to 90th $138 to $708Professionalmedian $132 · 10th to 90th $107 to $204
$100$200$500$1Kfacility $347professional $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
$138.04
Median
$389.05
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$154.88
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,000.00
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$263.03
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$234.42
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$218.78
Typical High
$363.08
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$389.05
Typical High
$588.84
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$478.63
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$223.87
Typical High
$407.38
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$162.18
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$97.72
Typical High
$234.42

Where Pennsylvania 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.

Pennsylvania· 39th 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.