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Circulating Tumor DNA Panel Of 55 To 74 Genes

North Carolina 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?

$4,266

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $4,266 for this service. The price depends on where it is billed: about $3,981 from a physician practice, and about $5,888 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$3,981$3,981 to $5,012
FacilityA hospital or hospital-owned outpatient department$5,888$3,981 to $11,482

How much rates vary

Facilitymedian $5,888 · 10th to 90th $3,981 to $16,596Professionalmedian $3,981 · 10th to 90th $3,311 to $7,943
$2K$5K$10K$20Kfacility $5,888professional $3,981

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
$3,981.07
Median
$8,709.64
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,981.07
Typical High
$4,786.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$11,220.18
Typical High
$15,848.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$13,182.57
Typical High
$22,908.68
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$4,466.84
Typical High
$7,244.36
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$5,888.44
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,019.95
Typical High
$5,248.07
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$23,988.33
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$25,118.86
Median
$25,118.86
Typical High
$37,153.52

Where North Carolina 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.

North Carolina· 35th of 51

$4,266

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.