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BCR-ABL1 Major Breakpoint Measurement

New Jersey 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?

$468

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $759 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$339$245 to $389
FacilityA hospital or hospital-owned outpatient department$759$537 to $2,089

How much rates vary

Facilitymedian $759 · 10th to 90th $407 to $4,571Professionalmedian $339 · 10th to 90th $240 to $603
$200$500$1K$2K$5K$10K$20Kfacility $759professional $339

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
$524.81
Median
$602.56
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$338.84
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$912.01
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$588.84
Typical High
$891.25
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$9,772.37
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$407.38
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$478.63

Where New Jersey 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.

New Jersey· 15th of 51

$468

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.