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BCR ABL1 Fusion Transcript Measurement

West 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?

$132

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $204 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 4 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$132$120 to $138
FacilityA hospital or hospital-owned outpatient department$204$135 to $245

How much rates vary

Facilitymedian $204 · 10th to 90th $135 to $245Professionalmedian $132 · 10th to 90th $110 to $155
$100$200$500facility $204professional $132

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
$134.90
Median
$204.17
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$154.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
CareSource
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$239.88
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$85.11
Typical High
$204.17

Where West 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.

West Virginia· 44th 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.