go back

Aggressive Prostate Cancer Gene Risk Score

Nebraska 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.

Facilitymedian $1,514 · 10th–90th $457$3,8020%10%10th90th$1,514Professionalmedian $501 · 10th–90th $457$1,1750%20%10th90th$501$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
$758.58
Median
$1,995.26
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$912.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$2,238.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,174.90
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$912.01
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$954.99
Typical High
$3,630.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$2,187.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,318.26
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$457.09
Typical High
$1,513.56