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BCR-ABL1 Major Breakpoint Measurement

Illinois 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?

$513

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $646 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 5 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$389$251 to $575
FacilityA hospital or hospital-owned outpatient department$646$479 to $832

How much rates vary

Facilitymedian $646 · 10th to 90th $407 to $1,023Professionalmedian $389 · 10th to 90th $245 to $832
$200$500$1K$2Kfacility $646professional $389

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
$407.38
Median
$645.65
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$389.05
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$549.54
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,071.52
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$501.19
Typical High
$602.56
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$549.54
Typical High
$758.58
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$251.19
Typical High
$478.63

Where Illinois 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.

Illinois· 10th of 51

$513

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.