CPT 0036U Pathology/Laboratory
Exome gene analysis for somatic mutation in tumor tissue Cost
Body System: General
Medicare Facility Rate
$4,780
CMS PFS CY2026
Medicare Non-Facility Rate
$4,780
Office/clinic setting
Frequently Asked Questions
How much does Exome gene analysis for somatic mutation in tumor tissue cost?
The Medicare facility rate is $4,780. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Exome gene analysis for somatic mutation in tumor tissue cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $4,780.