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Circulating Tumor DNA Panel Of 55 To 74 Genes

Massachusetts 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?

$5,012

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $5,012 for this service. The price depends on where it is billed: about $5,012 from a physician practice, and about $10,233 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$5,012$3,715 to $5,012
FacilityA hospital or hospital-owned outpatient department$10,233$7,079 to $14,454

How much rates vary

Facilitymedian $10,233 · 10th to 90th $5,012 to $15,488Professionalmedian $5,012 · 10th to 90th $3,020 to $9,120
$5K$10K$20Kfacility $10,233professional $5,012

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
$3,467.37
Median
$8,709.64
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,467.37
Typical High
$4,073.80
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$13,489.63
Typical High
$23,988.33
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$5,011.87
Typical High
$16,595.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$10,232.93
Typical High
$14,454.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,890.45
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$6,025.60
Typical High
$7,244.36
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$5,888.44
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$8,511.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$8,317.64
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$13,489.63
Typical High
$23,988.33
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$5,011.87
Typical High
$16,595.87
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$5,011.87
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$5,011.87
Typical High
$11,481.54

Where Massachusetts 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.

Massachusetts· 19th of 51

$5,012

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.