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Thyroid Nodule Gene Expression Panel

Wisconsin rates for HCPCS 0204U

Helps work out whether a thyroid nodule sampled by fine needle is cancerous, by reading how active 593 genes are in the collected cells. Well-known thyroid cancer genes including BRAF, RAS, RET, PAX8 and NTRK are among those covered.

Rates data updated July 2026.

How much does Thyroid Nodule Gene Expression Panel cost?

$7,586

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $7,586 for this service. The price depends on where it is billed: about $5,754 from a physician practice, and about $9,333 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 5 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$5,754$5,754 to $8,511
FacilityA hospital or hospital-owned outpatient department$9,333$7,943 to $10,715

How much rates vary

Facilitymedian $9,333 · 10th to 90th $7,079 to $15,136Professionalmedian $5,754 · 10th to 90th $3,890 to $11,749
$100$500$2K$10Kfacility $9,333professional $5,754

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$9,332.54
Typical High
$15,135.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$7,943.28
Typical High
$9,120.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$11,748.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$11,748.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$7,585.78
Quartz
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$7,079.46
Typical High
$7,079.46
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$13,182.57
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$5,370.32

Where Wisconsin sits

The same service costs 131.8 times more in Kentucky than in Illinois. 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.

Wisconsin· 4th of 38

$7,586

KY $45,709IL $347

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.