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Aggressive Prostate Cancer Gene Risk Score

Tennessee 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?

$603

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $871 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 5 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$603$575 to $759
FacilityA hospital or hospital-owned outpatient department$871$631 to $2,399

How much rates vary

Facilitymedian $871 · 10th to 90th $575 to $2,692Professionalmedian $603 · 10th to 90th $457 to $871
$200$500$1K$2K$5Kfacility $871professional $603

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
$954.99
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$602.56
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,348.96
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,754.40
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$758.58

Where Tennessee 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.

Tennessee· 41st of 51

$603

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.