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Aggressive Prostate Cancer Gene Risk Score

Washington 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 $1,202 · 10th–90th $759$4,1690%10%20%10th90th$1,202Professionalmedian $692 · 10th–90th $427$9120%20%10th90th$692$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
$707.95
Median
$3,388.44
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$741.31
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,122.02
Typical High
$1,513.56
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$758.58
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,698.24
Typical High
$1,949.84
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$3,548.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$758.58
Typical High
$1,288.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,202.26
Typical High
$2,344.23
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$912.01
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,148.15
Typical High
$1,995.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$758.58
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$851.14
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$758.58
Typical High
$1,380.38