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Circulating Tumor DNA Panel Of 55 To 74 Genes

Alaska rates for HCPCS 0242U

Profiles a solid tumor by examining cell-free tumor DNA — fragments the tumor sheds into the circulation — instead of a piece of the tumor itself. It is a mid-sized panel covering between 55 and 74 genes.

Rates data updated July 2026.

How much does Circulating Tumor DNA Panel Of 55 To 74 Genes cost?

$11,220

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $11,220 for this service. The price depends on where it is billed: about $11,220 from a physician practice, and about $18,621 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$11,220$5,012 to $16,596
FacilityA hospital or hospital-owned outpatient department$18,621$5,012 to $34,674

How much rates vary

Facilitymedian $18,621 · 10th to 90th $5,012 to $38,905Professionalmedian $11,220 · 10th to 90th $3,467 to $16,596
$5K$10K$20K$50Kfacility $18,621professional $11,220

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$35,481.34
Typical High
$58,884.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$16,595.87
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$13,803.84
Typical High
$13,803.84
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$22,387.21
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$16,218.10
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$18,620.87
Typical High
$19,952.62
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$7,585.78
Median
$11,220.18
Typical High
$11,220.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$13,803.84
Typical High
$23,988.33
United
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$5,011.87
Typical High
$15,135.61

Where Alaska 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.

Alaska· 1st of 51

$11,220

AK $11,220NE $3,311

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.