go back

BCR ABL1 Fusion Transcript Measurement

Utah 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?

$182

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $977 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 7 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$162$138 to $182
FacilityA hospital or hospital-owned outpatient department$977$182 to $977

How much rates vary

Facilitymedian $977 · 10th to 90th $182 to $1,288Professionalmedian $162 · 10th to 90th $85 to $204
$100$200$500$1Kfacility $977professional $162

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
$181.97
Median
$977.24
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$169.82
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$190.55
Typical High
$741.31
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$229.09
Select Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$144.54
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$204.17

Where Utah 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.

Utah· 14th of 51

$182

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.