go back

BCR ABL1 Fusion Transcript Measurement

Tennessee 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 Tennessee, 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 $182 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$123 to $162
FacilityA hospital or hospital-owned outpatient department$182$132 to $575

How much rates vary

Facilitymedian $182 · 10th to 90th $123 to $603Professionalmedian $129 · 10th to 90th $105 to $204
$50$100$200$500$1Kfacility $182professional $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
$123.03
Median
$204.17
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$128.82
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$181.97
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$295.12
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,230.27
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$162.18
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$102.33
Typical High
$204.17

Where Tennessee 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.

Tennessee· 43rd 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.