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Prostate Tumor 17-Gene Risk Score

New York rates for HCPCS 0047U

Estimates how aggressive a prostate cancer is likely to be, helping decide between treating it and monitoring it. It measures the activity of 17 genes in preserved tumor tissue and reports one combined risk score; a different test scores prostate cancer risk from urine instead.

Facilitymedian $7,244 · 10th–90th $3,311$11,7490%10%10th90th$7,244Professionalmedian $2,692 · 10th–90th $575$4,6770%10%20%10th90th$2,692$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$3,311.31
Median
$7,244.36
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,162.28
Typical High
$4,265.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$10,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$5,623.41
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,890.45
Typical High
$3,890.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$8,317.64
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$5,623.41
Typical High
$18,620.87
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$6,456.54
Typical High
$14,791.08
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$5,248.07
Typical High
$7,585.78
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,715.35
Typical High
$6,918.31
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$7,244.36
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,890.45
Typical High
$4,786.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,344.23
Typical High
$5,248.07
Univera
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,890.45
Typical High
$4,466.84
Univera
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,890.45
Typical High
$9,332.54