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Circulating Tumor DNA Panel Of 55 To 74 Genes

Connecticut 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?

$3,890

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $3,311 from a physician practice, and about $7,244 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$3,311$2,754 to $3,802
FacilityA hospital or hospital-owned outpatient department$7,244$5,012 to $10,965

How much rates vary

Facilitymedian $7,244 · 10th to 90th $5,012 to $13,490Professionalmedian $3,311 · 10th to 90th $2,630 to $5,495
$2K$5K$10K$20Kfacility $7,244professional $3,311

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
$6,760.83
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,311.31
Typical High
$3,715.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$7,762.47
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$5,011.87
Typical High
$7,244.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$14,791.08
Typical High
$28,840.32
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$9,332.54
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,019.95
Typical High
$6,606.93

Where Connecticut 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.

Connecticut· 43rd of 51

$3,890

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.