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Circulating Tumor DNA Panel Of 55 To 74 Genes

Arizona 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?

$4,169

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $4,169 for this service. The price depends on where it is billed: about $3,715 from a physician practice, and about $7,413 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$3,715$2,754 to $4,266
FacilityA hospital or hospital-owned outpatient department$7,413$4,786 to $10,715

How much rates vary

Facilitymedian $7,413 · 10th to 90th $3,388 to $17,378Professionalmedian $3,715 · 10th to 90th $2,089 to $5,012
$2K$5K$10K$20Kfacility $7,413professional $3,715

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
$5,370.32
Median
$7,585.78
Typical High
$19,952.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,715.35
Typical High
$4,265.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$9,549.93
Typical High
$17,378.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,365.16
Typical High
$30,199.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,890.45
Typical High
$14,125.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$5,011.87
Typical High
$9,120.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$25,118.86
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$5,011.87
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$3,019.95

Where Arizona 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.

Arizona· 37th of 51

$4,169

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.