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BCR ABL1 Fusion Transcript Measurement

Virginia 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?

$155

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $174 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$123$81.28 to $155
FacilityA hospital or hospital-owned outpatient department$174$162 to $355

How much rates vary

Facilitymedian $174 · 10th to 90th $155 to $646Professionalmedian $123 · 10th to 90th $81 to $170
$100$200$500$1Kfacility $174professional $123

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
$346.74
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$134.90
Typical High
$309.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$660.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$134.90
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$158.49
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$407.38
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$181.97
Typical High
$229.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$288.40
Medcost
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$346.74
Sentara
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$162.18
Typical High
$316.23
Sentara
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$162.18
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$162.18
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$213.80

Where Virginia 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.

Virginia· 33rd of 51

$155

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.