go back

Circulating Tumor DNA Panel Of 55 To 74 Genes

Georgia 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?

$4,677

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $4,677 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $5,623 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$4,365$3,020 to $5,012
FacilityA hospital or hospital-owned outpatient department$5,623$4,169 to $6,761

How much rates vary

Facilitymedian $5,623 · 10th to 90th $3,890 to $9,120Professionalmedian $4,365 · 10th to 90th $1,995 to $5,012
$2K$5K$10Kfacility $5,623professional $4,365

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
$3,311.31
Median
$4,466.84
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,981.07
Typical High
$4,786.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$5,754.40
Typical High
$6,760.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$5,011.87
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$10,964.78
Typical High
$15,135.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$7,244.36
Typical High
$12,882.50
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$6,456.54
Typical High
$7,943.28
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$6,165.95
Typical High
$10,715.19
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,019.95
Typical High
$6,456.54

Where Georgia 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.

Georgia· 26th of 51

$4,677

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.