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BCR-ABL1 Major Breakpoint Measurement

Rhode Island 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 Rhode Island, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $1,318 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 4 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$316$316 to $339
FacilityA hospital or hospital-owned outpatient department$1,318$490 to $2,042

How much rates vary

Facilitymedian $1,318 · 10th to 90th $447 to $2,344Professionalmedian $316 · 10th to 90th $275 to $407
$200$500$1K$2Kfacility $1,318professional $316

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
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,041.74
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$467.74
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$275.42
Typical High
$660.69

Where Rhode Island 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.

Rhode Island· 44th 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.