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Circulating Tumor DNA Panel Of 55 To 74 Genes

Michigan 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?

$4,786

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $4,786 for this service. The price depends on where it is billed: about $4,169 from a physician practice, and about $4,786 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$4,169$3,981 to $4,786
FacilityA hospital or hospital-owned outpatient department$4,786$4,786 to $5,888

How much rates vary

Facilitymedian $4,786 · 10th to 90th $4,571 to $8,710Professionalmedian $4,169 · 10th to 90th $2,754 to $5,888
$2K$5Kfacility $4,786professional $4,169

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
$4,786.30
Median
$4,786.30
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$4,786.30
Typical High
$5,888.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$4,168.69
Typical High
$4,168.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,168.69
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$5,495.41
Typical High
$6,309.57
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$5,128.61
Typical High
$12,589.25
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$5,011.87
Typical High
$6,760.83
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$5,754.40
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
$2,089.30
Median
$3,019.95
Typical High
$5,011.87

Where Michigan 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.

Michigan· 22nd of 51

$4,786

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.