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Aggressive Prostate Cancer Gene Risk Score

Washington, DC rates for HCPCS 0011M

Estimates the likelihood that a person has aggressive prostate cancer rather than slow-growing disease. It measures the activity of 12 genes across two body fluids — urine and blood plasma — and reports one combined risk score.

Rates data updated July 2026.

Facilitymedian $575 · 10th–90th $575$1,2880%50%90th$575Professionalmedian $575 · 10th–90th $550$5890%50%10th90th$575$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$575.44
Typical High
$588.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,288.25
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$870.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,318.26
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$912.01
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$338.84
Typical High
$707.95