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Prostate Cancer Urine And PSA Risk Test

Georgia 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.

Rates data updated July 2026.

How much does Prostate Cancer Urine And PSA Risk Test cost?

$646

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $871 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 5 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$537$355 to $708
FacilityA hospital or hospital-owned outpatient department$871$646 to $1,023

How much rates vary

Facilitymedian $871 · 10th to 90th $589 to $1,413Professionalmedian $537 · 10th to 90th $302 to $933
$200$500$1K$2Kfacility $871professional $537

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
$501.19
Median
$691.83
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$724.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$1,023.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,659.59
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$933.25
Typical High
$1,122.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$977.24

Where Georgia 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.

Georgia· 29th of 51

$646

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.