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Paired Tumor Optical Genome Mapping

Pennsylvania 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 Pennsylvania, 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 $3,236 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 8 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$1,122 to $1,585
FacilityA hospital or hospital-owned outpatient department$3,236$2,239 to $4,677

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,585 to $6,607Professionalmedian $1,514 · 10th to 90th $1,023 to $1,862
$1K$2K$5K$10Kfacility $3,236professional $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
$1,584.89
Median
$3,235.94
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,513.56
Typical High
$1,737.80
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,570.40
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,691.53
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,090.30
Typical High
$4,677.35
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,890.45
Typical High
$6,606.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,513.56
Typical High
$5,495.41
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,862.09
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,122.02
Typical High
$2,511.89

Where Pennsylvania 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.

Pennsylvania· 27th 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.