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Circulating Tumor DNA Panel Of 55 To 74 Genes

Idaho 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?

$5,129

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $5,129 for this service. The price depends on where it is billed: about $5,129 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$5,129$4,677 to $6,026
FacilityA hospital or hospital-owned outpatient department$7,586$5,012 to $11,220

How much rates vary

Facilitymedian $7,586 · 10th to 90th $5,012 to $15,136Professionalmedian $5,129 · 10th to 90th $3,467 to $9,772
$2K$5K$10Kfacility $7,586professional $5,129

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
$9,120.11
Median
$12,882.50
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$5,754.40
Typical High
$9,772.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,709.64
Typical High
$18,197.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,128.61
Typical High
$5,128.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$10,471.29
Typical High
$19,498.45
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$7,585.78
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$6,025.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$9,772.37
Typical High
$18,197.01
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$5,248.07
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$6,456.54
Select Health
Setting
Professional
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
$2,089.30
Typical High
$5,011.87

Where Idaho 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.

Idaho· 10th of 51

$5,129

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.