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BCR-ABL1 Major Breakpoint Measurement

South Dakota 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?

$776

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $776 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 7 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$776$490 to $977
FacilityA hospital or hospital-owned outpatient department$776$776 to $776

How much rates vary

Facilitymedian $776 · 10th to 90th $468 to $776Professionalmedian $776 · 10th to 90th $245 to $1,122
$200$500$1K$2Kfacility $776professional $776

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
$467.74
Median
$467.74
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$776.25
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$758.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$2,041.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$954.99
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$537.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38

Where South Dakota 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.

South Dakota· 2nd of 51

$776

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.