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BCR-ABL1 Major Breakpoint Measurement

Nebraska 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?

$490

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $550 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$245 to $676
FacilityA hospital or hospital-owned outpatient department$550$372 to $1,072

How much rates vary

Facilitymedian $550 · 10th to 90th $245 to $1,096Professionalmedian $407 · 10th to 90th $234 to $1,072
$200$500$1K$2Kfacility $550professional $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
$288.40
Median
$1,071.52
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,071.52
Typical High
$1,071.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$645.65
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$776.25
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$512.86
Typical High
$1,949.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$1,318.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$389.05
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$245.47
Typical High
$1,122.02

Where Nebraska 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.

Nebraska· 14th of 51

$490

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.