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BCR-ABL1 Major Breakpoint Measurement

Georgia rates for HCPCS 0040U

Used in chronic myeloid leukemia to measure how much of the abnormal BCR-ABL1 gene fusion is present, which shows how the disease is responding. It reports a quantity for the major breakpoint form of the fusion only; a companion test covers both breakpoint forms.

Rates data updated July 2026.

How much does BCR-ABL1 Major Breakpoint Measurement cost?

$229

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $468 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 6 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$81.28$81.28 to $245
FacilityA hospital or hospital-owned outpatient department$468$331 to $550

How much rates vary

Facilitymedian $468 · 10th to 90th $170 to $759Professionalmedian $81 · 10th to 90th $81 to $447
$100$200$500$1Kfacility $468professional $81

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
$331.13
Median
$575.44
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$331.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$467.74
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$912.01
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$501.19
Typical High
$602.56
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$537.03
Typical High
$1,905.46
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$478.63
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$562.34

Where Georgia sits

The same service costs 11.2 times more in Alaska than in Kentucky. 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.

Georgia· 50th of 51

$229

AK $912KY $81.28

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.