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Circulating Tumor DNA Panel Of 55 To 74 Genes

South Dakota 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?

$7,586

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $7,586 for this service. Most negotiated rates run $4,677 to $12,023.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,754 · 10th to 90th $3,467 to $7,943Professionalmedian $8,511 · 10th to 90th $3,388 to $12,023
$2K$5K$10Kfacility $5,754professional $8,511

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
$3,467.37
Median
$5,754.40
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,890.45
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$9,549.93
Typical High
$12,022.64
Medica
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,786.30
Typical High
$9,120.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$25,118.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,025.60
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$7,079.46
Median
$11,748.98
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,019.95
Typical High
$6,606.93
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87

Where South Dakota 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.

South Dakota· 2nd of 51

$7,586

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.