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Aggressive Prostate Cancer Gene Risk Score

New Hampshire 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 $2,291 · 10th–90th $1,318$4,7860%10%10th90th$2,291Professionalmedian $661 · 10th–90th $457$1,2300%20%10th90th$661$500.0$1.0K$2.0K$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
$1,905.46
Median
$1,905.46
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$616.60
Typical High
$912.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,479.11
Typical High
$4,365.16
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$489.78
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,754.23
Typical High
$3,311.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$758.58