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PTEN Gene Test For Cowden Syndrome

Missouri rates for HCPCS 0235U

Reads the PTEN gene to look for inherited changes that cause Cowden syndrome, a condition in which multiple benign growths develop and the lifetime risk of certain cancers is raised. Only this one gene is examined.

Rates data updated July 2026.

How much does PTEN Gene Test For Cowden Syndrome cost?

$575

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $1,047 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$525$251 to $692
FacilityA hospital or hospital-owned outpatient department$1,047$603 to $1,175

How much rates vary

Facilitymedian $1,047 · 10th to 90th $575 to $11,482Professionalmedian $525 · 10th to 90th $240 to $1,047
$200$500$1K$2K$5K$10Kfacility $1,047professional $525

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
$575.44
Median
$1,000.00
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$524.81
Typical High
$1,230.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$12,882.50
Typical High
$16,595.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$245.47
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,258.93
Typical High
$3,090.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$724.44
Typical High
$2,818.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$602.56
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$691.83

Where Missouri sits

The same service costs 3.7 times more in Alaska than in Wyoming. 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.

Missouri· 21st of 51

$575

AK $1,349WY $363

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.