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Circulating Tumor DNA Panel Of 55 To 74 Genes

Colorado 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?

$6,607

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $6,607 for this service. The price depends on where it is billed: about $3,802 from a physician practice, and about $13,490 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 7 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$3,802$2,089 to $3,981
FacilityA hospital or hospital-owned outpatient department$13,490$7,586 to $20,893

How much rates vary

Facilitymedian $13,490 · 10th to 90th $5,012 to $25,119Professionalmedian $3,802 · 10th to 90th $2,089 to $5,012
$2K$5K$10K$20Kfacility $13,490professional $3,802

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
$5,011.87
Median
$17,378.01
Typical High
$23,442.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,801.89
Typical High
$4,677.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$14,791.08
Typical High
$25,118.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,089.30
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,235.94
Typical High
$15,135.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$7,244.36
Typical High
$7,244.36
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$5,011.87
Typical High
$7,413.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$7,079.46
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$9,332.54
Typical High
$10,471.29
Select Health
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$5,011.87
Typical High
$7,585.78
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$5,248.07
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$3,715.35

Where Colorado 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.

Colorado· 4th of 51

$6,607

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.