CPT 0211U Pathology/Laboratory
Next-generation sequencing of DNA and RNA in tumor tissue specimen with Cost
Body System: General
Medicare Facility Rate
$8,455
CMS PFS CY2026
Medicare Non-Facility Rate
$8,455
Office/clinic setting
Frequently Asked Questions
How much does Next-generation sequencing of DNA and RNA in tumor tissue specimen with cost?
The Medicare facility rate is $8,455. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Next-generation sequencing of DNA and RNA in tumor tissue specimen with 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 $8,455.