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Aggressive Prostate Cancer Gene Risk Score

Oklahoma 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?

$708

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $759 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 4 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$575$316 to $813
FacilityA hospital or hospital-owned outpatient department$759$575 to $1,000

How much rates vary

Facilitymedian $759 · 10th to 90th $562 to $1,905Professionalmedian $575 · 10th to 90th $316 to $955
$500$1K$2K$5Kfacility $759professional $575

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
$575.44
Median
$758.58
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$575.44
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,041.74
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$1,318.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$501.19

Where Oklahoma 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.

Oklahoma· 26th of 51

$708

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.