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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 July 2026.

How much does Aggressive Prostate Cancer Gene Risk Score cost?

$741

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $1,148 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 8 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$661$513 to $759
FacilityA hospital or hospital-owned outpatient department$1,148$759 to $1,995

How much rates vary

Facilitymedian $1,148 · 10th to 90th $589 to $2,188Professionalmedian $661 · 10th to 90th $457 to $1,318
$500$1K$2Kfacility $1,148professional $661

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
$588.84
Median
$1,778.28
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$588.84
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
$933.25
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
$1,698.24
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

Where Iowa 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.

Iowa· 22nd of 51

$741

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.