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Aggressive Prostate Cancer Gene Risk Score

Illinois 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 $1,259 · 10th–90th $759$2,2910%10%10th90th$1,259Professionalmedian $617 · 10th–90th $501$9550%20%10th90th$617$10.0$50.0$200.0$1.0K$5.0K

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
$776.25
Median
$1,318.26
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$645.65
Typical High
$912.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,023.29
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,659.59
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$912.01
Typical High
$1,000.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$1,023.29
Typical High
$1,380.38
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$758.58