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BCR-ABL1 Major Breakpoint Measurement

Maryland 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?

$309

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $309 for this service. Most negotiated rates run $219 to $331.

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.

How much rates vary

Facilitymedian $174 · 10th to 90th $174 to $309Professionalmedian $309 · 10th to 90th $191 to $417
$200$500facility $174professional $309

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$309.03
Typical High
$309.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$269.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$489.78
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$204.17
Typical High
$363.08
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$323.59

Where Maryland 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.

Maryland· 46th of 51

$309

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.