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Aggressive Prostate Cancer Gene Risk Score

South Dakota 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 June 2026.

Facilitymedian $708 · 10th–90th $708$8710%50%90th$708Professionalmedian $708 · 10th–90th $513$1,7780%20%10th90th$708$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
$707.95
Median
$707.95
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$707.95
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$691.83
Typical High
$3,801.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,778.28
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$1,000.00
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58