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Prostate Cancer Urine And PSA Risk Test

Washington, DC rates for HCPCS 0113U

Estimates the risk that a man has prostate cancer, to help decide whether a biopsy is warranted. It measures two RNA markers in urine, PCA3 and the TMPRSS2-ERG fusion, and combines them with the PSA protein level from blood into a single risk score.

Facilitymedian $912 · 10th–90th $575$4,6770%20%40%10th90th$912Professionalmedian $575 · 10th–90th $457$7410%50%10th90th$575$1.0$5.0$20.0$100.0$500.0$2.0K

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
$575.44
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$575.44
Typical High
$741.31
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,288.25
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$977.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$912.01
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$338.84
Typical High
$707.95