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Paired Tumor Optical Genome Mapping

Illinois rates for HCPCS 0299U

Looks for large structural rearrangements in a cancer's chromosomes, in any type of tumor. Fresh tissue, blood or a bone-marrow sample is examined by optical genome mapping — imaging very long DNA molecules to reveal breaks, fusions, deletions and duplications — and the result is compared against the patient's own normal tissue so that only cancer-specific changes are reported. This comparison relies on optical mapping alone, without DNA sequencing.

Rates data updated July 2026.

How much does Paired Tumor Optical Genome Mapping cost?

$1,585

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,514 from a physician practice, and about $2,951 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$1,514$1,230 to $1,585
FacilityA hospital or hospital-owned outpatient department$2,951$1,905 to $3,802

How much rates vary

Facilitymedian $2,951 · 10th to 90th $1,514 to $3,981Professionalmedian $1,514 · 10th to 90th $1,023 to $3,162
$500$1K$2K$5Kfacility $2,951professional $1,514

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
$1,513.56
Median
$2,951.21
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,513.56
Typical High
$3,801.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,511.89
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,073.80
Typical High
$8,511.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,290.87
Typical High
$2,691.53
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$1,949.84
Typical High
$2,951.21
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,122.02
Typical High
$1,862.09

Where Illinois sits

The same service costs 3.7 times more in Alaska than in Wyoming. 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.

Illinois· 29th of 51

$1,585

AK $4,169WY $1,122

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.