go back

BCR-ABL1 Major Breakpoint Measurement

Idaho 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?

$417

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $617 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$417$398 to $417
FacilityA hospital or hospital-owned outpatient department$617$407 to $1,023

How much rates vary

Facilitymedian $617 · 10th to 90th $407 to $1,288Professionalmedian $417 · 10th to 90th $191 to $513
$200$500$1Kfacility $617professional $417

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
$741.31
Median
$1,071.52
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$398.11
Typical High
$1,071.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$724.44
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$416.87
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$851.14
Typical High
$1,584.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$616.60
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$1,479.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$426.58
Select Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$537.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$457.09

Where Idaho 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.

Idaho· 20th of 51

$417

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.