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Circulating Tumor DNA Panel Of 55 To 74 Genes

Utah 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?

$4,467

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $4,467 for this service. The price depends on where it is billed: about $4,467 from a physician practice, and about $23,988 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 7 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$4,467$4,266 to $4,467
FacilityA hospital or hospital-owned outpatient department$23,988$5,012 to $23,988

How much rates vary

Facilitymedian $23,988 · 10th to 90th $4,467 to $31,623Professionalmedian $4,467 · 10th to 90th $2,089 to $5,129
$2K$5K$10K$20Kfacility $23,988professional $4,467

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
$4,466.84
Median
$23,988.33
Typical High
$31,622.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$5,248.07
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,025.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,754.40
Typical High
$6,025.60
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$5,011.87
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,365.16
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$5,011.87

Where Utah 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.

Utah· 28th of 51

$4,467

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.