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Aggressive Prostate Cancer Gene Risk Score

Virginia 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 $813 · 10th–90th $646$2,9510%20%10th90th$813Professionalmedian $537 · 10th–90th $302$7590%10%20%10th90th$537$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
$575.44
Median
$1,584.89
Typical High
$2,951.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$575.44
Typical High
$912.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$3,235.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$512.86
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$645.65
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,862.09
Typical High
$3,890.45
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$1,071.52
Medcost
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$1,288.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$758.58
Typical High
$1,584.89
Sentara
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$954.99
Typical High
$1,479.11
Sentara
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$954.99
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$380.19
Typical High
$831.76