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Aggressive Prostate Cancer Gene Risk Score

Minnesota 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?

$759

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $2,042 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$759$708 to $794
FacilityA hospital or hospital-owned outpatient department$2,042$759 to $2,951

How much rates vary

Facilitymedian $2,042 · 10th to 90th $759 to $5,623Professionalmedian $759 · 10th to 90th $603 to $832
$500$1K$2K$5Kfacility $2,042professional $759

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
$707.95
Median
$707.95
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$707.95
Typical High
$912.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,570.40
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$870.96
Typical High
$1,000.00
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,818.38
Typical High
$5,623.41
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,122.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,318.26
Typical High
$2,290.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$870.96
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$758.58
Typical High
$1,659.59

Where Minnesota 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.

Minnesota· 21st of 51

$759

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.