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BCR-ABL1 Major Breakpoint Measurement

North Carolina 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?

$407

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $708 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$407$372 to $617
FacilityA hospital or hospital-owned outpatient department$708$427 to $1,288

How much rates vary

Facilitymedian $708 · 10th to 90th $331 to $1,380Professionalmedian $407 · 10th to 90th $275 to $851
$200$500$1K$2Kfacility $708professional $407

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
$707.95
Median
$1,288.25
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$1,380.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,318.26
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$407.38
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$891.25
Typical High
$1,862.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$389.05
Typical High
$630.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$537.03
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$478.63
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$3,090.30

Where North Carolina 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.

North Carolina· 23rd of 51

$407

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.