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Circulating Tumor DNA Panel Of 55 To 74 Genes

Florida 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?

$3,715

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $3,715 for this service. The price depends on where it is billed: about $3,467 from a physician practice, and about $9,333 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$3,467$3,020 to $4,074
FacilityA hospital or hospital-owned outpatient department$9,333$4,786 to $14,791

How much rates vary

Facilitymedian $9,333 · 10th to 90th $3,631 to $26,915Professionalmedian $3,467 · 10th to 90th $2,754 to $4,677
$200$500$1K$2K$5K$10K$20Kfacility $9,333professional $3,467

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
$3,630.78
Median
$12,022.64
Typical High
$26,915.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,630.78
Typical High
$4,466.84
AvMed
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
AvMed
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$5,011.87
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$3,801.89
Typical High
$20,417.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$7,244.36
Typical High
$23,988.33
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$9,332.54
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$4,265.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$4,466.84
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,137.96
Typical High
$6,606.93
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$5,011.87

Where Florida 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.

Florida· 47th of 51

$3,715

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.