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Five-Gene Panel For Lynch Syndrome

Illinois rates for HCPCS 0238U

Looks for Lynch syndrome, an inherited condition that raises the risk of bowel cancer and several other cancers, by reading five genes: MLH1, MSH2, MSH6, PMS2 and EPCAM.

Rates data updated July 2026.

How much does Five-Gene Panel For Lynch Syndrome cost?

$550

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $891 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$479$437 to $525
FacilityA hospital or hospital-owned outpatient department$891$603 to $1,175

How much rates vary

Facilitymedian $891 · 10th to 90th $479 to $1,479Professionalmedian $479 · 10th to 90th $316 to $891
$500$1K$2K$5Kfacility $891professional $479

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
$478.63
Median
$891.25
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$478.63
Typical High
$1,202.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,258.93
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$707.95
Typical High
$851.14
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$616.60

Where Illinois 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.

Illinois· 23rd of 51

$550

AK $1,318WY $355

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.