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Circulating Tumor DNA Panel Of 55 To 74 Genes

New Mexico 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 New Mexico, July 2026.

Insurers have agreed to pay about $4,266 for this service. The price depends on where it is billed: about $4,266 from a physician practice, and about $6,310 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$4,266$3,715 to $6,026
FacilityA hospital or hospital-owned outpatient department$6,310$4,467 to $9,120

How much rates vary

Facilitymedian $6,310 · 10th to 90th $3,236 to $15,136Professionalmedian $4,266 · 10th to 90th $2,089 to $6,026
$2K$5K$10Kfacility $6,310professional $4,266

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$15,135.61
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,265.80
Typical High
$6,025.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
Molina
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$10,715.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$5,011.87
Typical High
$9,772.37
Providence
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$4,466.84
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$3,019.95

Where New Mexico 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.

New Mexico· 33rd 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.