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BCR-ABL1 Major Breakpoint Measurement

New York 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?

$339

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $741 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 9 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$240$81.28 to $380
FacilityA hospital or hospital-owned outpatient department$741$457 to $977

How much rates vary

Facilitymedian $741 · 10th to 90th $347 to $1,122Professionalmedian $240 · 10th to 90th $81 to $646
$100$200$500$1Kfacility $741professional $240

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
$316.23
Median
$776.25
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$275.42
Typical High
$741.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$1,071.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$602.56
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$870.96
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$1,995.26
Typical High
$1,995.26
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$676.08
Typical High
$1,584.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$537.03
Typical High
$794.33
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$724.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$776.25
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$407.38
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$457.09
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$588.84
Univera
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$407.38
Typical High
$467.74
Univera
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$977.24

Where New York 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 York· 43rd of 51

$339

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.