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Circulating Tumor DNA Panel Of 55 To 74 Genes

Nevada 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 Nevada, July 2026.

Insurers have agreed to pay about $4,266 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $7,762 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$3,890$2,818 to $5,012
FacilityA hospital or hospital-owned outpatient department$7,762$4,169 to $26,915

How much rates vary

Facilitymedian $7,762 · 10th to 90th $3,890 to $26,915Professionalmedian $3,890 · 10th to 90th $2,089 to $5,754
$2K$5K$10K$20Kfacility $7,762professional $3,890

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
$3,890.45
Median
$9,549.93
Typical High
$37,153.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,890.45
Typical High
$6,760.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$4,168.69
Typical High
$12,022.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,888.44
Typical High
$18,197.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$7,244.36
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$8,128.31
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,011.87
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,019.95
Typical High
$6,456.54

Where Nevada 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.

Nevada· 34th 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.