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Aggressive Prostate Cancer Gene Risk Score

Iowa 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 June 2026.

Facilitymedian $1,175 · 10th–90th $589$2,0420%10%20%10th90th$1,175Professionalmedian $646 · 10th–90th $501$9120%10%20%10th90th$646$200.0$500.0$1.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,445.44
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,000.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$977.24
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$2,041.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$3,019.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$831.76
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$1,905.46
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58