go back

BCR-ABL1 Major Breakpoint Measurement

Kentucky 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?

$81.28

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $513 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 $275
FacilityA hospital or hospital-owned outpatient department$513$398 to $977

How much rates vary

Facilitymedian $513 · 10th to 90th $339 to $8,318Professionalmedian $81 · 10th to 90th $81 to $562
$100$500$2K$10K$50Kfacility $513professional $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
$338.84
Median
$512.86
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$407.38
Typical High
$426.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$6,025.60
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$602.56
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Molina
Setting
Professional
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
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$275.42
Typical High
$457.09

Where Kentucky 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.

Kentucky· 51st of 51

$81.28

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.