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Paired Tumor Optical Genome Mapping

Kentucky 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?

$1,318

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $2,344 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$1,122$209 to $1,514
FacilityA hospital or hospital-owned outpatient department$2,344$1,514 to $4,467

How much rates vary

Facilitymedian $2,344 · 10th to 90th $1,514 to $37,154Professionalmedian $1,122 · 10th to 90th $178 to $1,862
$200$1K$5K$20Kfacility $2,344professional $1,122

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
$1,513.56
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,479.11
Typical High
$1,862.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$208.93
Typical High
$208.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$28,183.83
Typical High
$56,234.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,630.27
Typical High
$34,673.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,691.53
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$8,912.51
Typical High
$8,912.51
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,122.02
Typical High
$1,862.09

Where Kentucky 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.

Kentucky· 46th of 51

$1,318

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.