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BCR ABL1 Fusion Transcript Measurement

Texas 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?

$126

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $195 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$107$97.72 to $126
FacilityA hospital or hospital-owned outpatient department$195$126 to $309

How much rates vary

Facilitymedian $195 · 10th to 90th $102 to $724Professionalmedian $107 · 10th to 90th $85 to $174
$100$200$500$1Kfacility $195professional $107

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
$102.33
Median
$194.98
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$109.65
Typical High
$138.04
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$331.13
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$199.53
Typical High
$239.88
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$162.18
Typical High
$269.15
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$165.96
Typical High
$245.47
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$177.83
Typical High
$346.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$467.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$204.17
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$162.18
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$181.97
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$162.18
Typical High
$223.87

Where Texas 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.

Texas· 47th of 51

$126

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.