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BCR-ABL1 Major Breakpoint Measurement

Utah 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?

$407

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $2,188 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$407$347 to $407
FacilityA hospital or hospital-owned outpatient department$2,188$407 to $2,188

How much rates vary

Facilitymedian $2,188 · 10th to 90th $407 to $2,884Professionalmedian $407 · 10th to 90th $191 to $490
$200$500$1K$2Kfacility $2,188professional $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
$407.38
Median
$2,187.76
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$426.58
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$467.74
Typical High
$1,862.09
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$512.86
Select Health
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$602.56
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$457.09

Where Utah 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.

Utah· 35th of 51

$407

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.