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Aggressive Prostate Cancer Gene Risk Score

New York 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.

Facilitymedian $1,318 · 10th–90th $617$2,0890%20%10th90th$1,318Professionalmedian $617 · 10th–90th $363$1,4450%20%40%10th90th$617$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$616.60
Median
$1,348.96
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$588.84
Typical High
$741.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,995.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$1,096.48
Typical High
$2,041.74
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$3,630.78
Typical High
$3,630.78
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,148.15
Typical High
$2,754.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,000.00
Typical High
$1,479.11
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$724.44
Typical High
$1,348.96
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,445.44
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$758.58
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$758.58
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$1,047.13
Univera
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$758.58
Typical High
$870.96
Univera
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$758.58
Typical High
$1,819.70