go back

Circulating Tumor DNA Panel Of 55 To 74 Genes

Maine 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 Maine, 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 $6,607 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$5,012$4,074 to $5,012
FacilityA hospital or hospital-owned outpatient department$6,607$5,012 to $22,387

How much rates vary

Facilitymedian $6,607 · 10th to 90th $5,012 to $31,623Professionalmedian $5,012 · 10th to 90th $3,020 to $5,012
$2K$5K$10K$20Kfacility $6,607professional $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
$5,011.87
Median
$5,011.87
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,073.80
Typical High
$4,073.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$31,622.78
Typical High
$34,673.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,019.95
Typical High
$4,786.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$11,481.54
Typical High
$11,481.54
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$6,025.60
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$12,589.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,073.80
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$5,011.87
Typical High
$7,585.78

Where Maine 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.

Maine· 12th 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.