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Circulating Tumor DNA Panel Of 55 To 74 Genes

West Virginia 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?

$4,074

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $4,074 for this service. The price depends on where it is billed: about $3,981 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 4 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$3,715 to $4,266
FacilityA hospital or hospital-owned outpatient department$6,310$4,074 to $7,586

How much rates vary

Facilitymedian $6,310 · 10th to 90th $4,074 to $7,586Professionalmedian $3,981 · 10th to 90th $3,020 to $4,266
$2K$5K$10K$20Kfacility $6,310professional $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
$4,073.80
Median
$6,309.57
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,981.07
Typical High
$4,265.80
CareSource
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,025.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,244.36
Typical High
$15,135.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$23,988.33
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,511.89
Typical High
$5,495.41

Where West Virginia 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.

West Virginia· 39th of 51

$4,074

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.