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BCR ABL1 Fusion Transcript Measurement

South 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?

$132

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $302 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$129$129 to $132
FacilityA hospital or hospital-owned outpatient department$302$132 to $525

How much rates vary

Facilitymedian $302 · 10th to 90th $129 to $776Professionalmedian $129 · 10th to 90th $110 to $141
$100$200$500$1Kfacility $302professional $129

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
$128.82
Median
$407.38
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$134.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$223.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$173.78
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$537.03
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$154.88
Typical High
$295.12
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
$102.33
Typical High
$204.17

Where South 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.

South Carolina· 45th of 51

$132

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.