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Thyroid Nodule 112-Gene Classifier

Montana rates for HCPCS 0026U

Helps determine whether a thyroid nodule is cancerous when the needle sample alone is not conclusive. It sequences 112 genes, reading them as both DNA and RNA, and reports a classification for the nodule.

Rates data updated July 2026.

How much does Thyroid Nodule 112-Gene Classifier cost?

$4,467

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $4,467 for this service. The price depends on where it is billed: about $4,169 from a physician practice, and about $5,248 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 6 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$4,169$3,631 to $5,370
FacilityA hospital or hospital-owned outpatient department$5,248$4,467 to $5,754

How much rates vary

Facilitymedian $5,248 · 10th to 90th $3,631 to $10,965Professionalmedian $4,169 · 10th to 90th $1,514 to $6,310
$100$200$500$1K$2K$5K$10Kfacility $5,248professional $4,169

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
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,370.32
Typical High
$10,964.78
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$5,370.32
Typical High
$10,964.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,623.41
Typical High
$7,943.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$3,235.94
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$3,630.78

Where Montana sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

Montana· 6th of 51

$4,467

AK $8,128NE $2,399

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.