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Aggressive Prostate Cancer Gene Risk Score

Texas 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 $912 · 10th–90th $457$3,4670%10%10th90th$912Professionalmedian $575 · 10th–90th $417$8710%20%10th90th$575$5.0$20.0$100.0$500.0$2.0K

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
$457.09
Median
$1,096.48
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$575.44
Typical High
$741.31
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,737.80
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$831.76
Typical High
$1,000.00
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$758.58
Typical High
$1,412.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$954.99
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$891.25
Typical High
$2,754.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$2,238.72
Providence
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$758.58
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$537.03
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$524.81
Typical High
$758.58