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Circulating Tumor DNA Panel Of 55 To 74 Genes

Iowa 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?

$4,898

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $4,898 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $7,586 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 8 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$3,890 to $5,012
FacilityA hospital or hospital-owned outpatient department$7,586$5,012 to $13,183

How much rates vary

Facilitymedian $7,586 · 10th to 90th $3,890 to $14,454Professionalmedian $4,365 · 10th to 90th $3,020 to $10,715
$2K$5K$10K$20Kfacility $7,586professional $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
$3,890.45
Median
$11,748.98
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,890.45
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$12,022.64
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$6,456.54
Typical High
$9,120.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,025.60
Typical High
$12,882.50
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$5,011.87
Typical High
$19,952.62
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,165.95
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,370.32
Typical High
$10,715.19
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$12,589.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87

Where Iowa 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.

Iowa· 20th of 51

$4,898

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.