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Aggressive Prostate Cancer Gene Risk Score

Georgia 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.

How much does Aggressive Prostate Cancer Gene Risk Score cost?

$589

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $871 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 6 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$457$302 to $661
FacilityA hospital or hospital-owned outpatient department$871$646 to $1,023

How much rates vary

Facilitymedian $871 · 10th to 90th $589 to $1,413Professionalmedian $457 · 10th to 90th $302 to $759
$200$500$1K$2Kfacility $871professional $457

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
$501.19
Median
$691.83
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$724.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$1,023.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,659.59
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$831.76
Typical High
$1,000.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$977.24
Typical High
$5,888.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,023.29
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$977.24

Where Georgia sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

Georgia· 43rd of 51

$589

AK $1,698NE $501

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.