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Circulating Tumor DNA Panel Of 55 To 74 Genes

Missouri 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?

$4,898

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $4,898 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $6,457 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 5 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$4,365$2,089 to $5,754
FacilityA hospital or hospital-owned outpatient department$6,457$5,012 to $8,710

How much rates vary

Facilitymedian $6,457 · 10th to 90th $4,898 to $11,482Professionalmedian $4,365 · 10th to 90th $1,995 to $8,318
$2K$5K$10K$20Kfacility $6,457professional $4,365

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
$4,897.79
Median
$8,317.64
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,365.16
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$17,378.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,290.87
Typical High
$8,317.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$10,471.29
Typical High
$25,703.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$6,025.60
Typical High
$23,988.33
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,019.95
Typical High
$25,118.86
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
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
$5,888.44

Where Missouri 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.

Missouri· 21st of 51

$4,898

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.