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Circulating Tumor DNA Panel Of 55 To 74 Genes

Kentucky 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?

$3,981

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $3,020 from a physician practice, and about $5,248 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$3,020$1,995 to $4,074
FacilityA hospital or hospital-owned outpatient department$5,248$4,074 to $12,023

How much rates vary

Facilitymedian $5,248 · 10th to 90th $4,074 to $56,234Professionalmedian $3,020 · 10th to 90th $1,995 to $5,370
$2K$5K$10K$20K$50K$100Kfacility $5,248professional $3,020

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
$4,073.80
Median
$4,073.80
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,981.07
Typical High
$5,011.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$5,011.87
Typical High
$5,248.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$52,480.75
Typical High
$125,892.54
CareSource
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$7,079.46
Typical High
$93,325.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$7,244.36
Typical High
$11,748.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$23,988.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,019.95
Typical High
$5,011.87

Where Kentucky 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.

Kentucky· 40th of 51

$3,981

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.