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Circulating Tumor DNA Panel Of 55 To 74 Genes

Montana 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?

$6,310

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $6,310 for this service. The price depends on where it is billed: about $5,754 from a physician practice, and about $6,761 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$5,754$5,012 to $7,586
FacilityA hospital or hospital-owned outpatient department$6,761$6,310 to $8,318

How much rates vary

Facilitymedian $6,761 · 10th to 90th $5,012 to $11,482Professionalmedian $5,754 · 10th to 90th $2,089 to $9,772
$100$200$500$1K$2K$5K$10Kfacility $6,761professional $5,754

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
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,754.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,760.83
Typical High
$11,481.54
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$6,760.83
Typical High
$11,481.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,762.47
Typical High
$10,964.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$4,466.84
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$5,011.87

Where Montana 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.

Montana· 5th of 51

$6,310

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.