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Aggressive Prostate Cancer Gene Risk Score

Utah 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 $3,715 · 10th–90th $692$4,7860%20%10th90th$3,715Professionalmedian $676 · 10th–90th $417$8320%10%20%10th90th$676$100.0$200.0$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
$691.83
Median
$3,715.35
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$691.83
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$794.33
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$3,090.30
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$691.83
Typical High
$870.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$2,187.76
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$676.08
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$758.58