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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.

Rates data updated July 2026.

How much does Aggressive Prostate Cancer Gene Risk Score cost?

$759

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $1,148 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 9 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$692$603 to $759
FacilityA hospital or hospital-owned outpatient department$1,148$759 to $1,905

How much rates vary

Facilitymedian $1,148 · 10th to 90th $759 to $3,388Professionalmedian $692 · 10th to 90th $457 to $912
$500$1K$2K$5Kfacility $1,148professional $692

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
$707.95
Median
$1,737.80
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$707.95
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$954.99
Typical High
$2,089.30
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
$1,621.81
Typical High
$1,949.84
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$758.58
Typical High
$3,548.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$1,905.46
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
$758.58
Median
$1,148.15
Typical High
$2,041.74
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

Where Washington 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.

Washington· 18th of 51

$759

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.