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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.

Facilitymedian $871 · 10th–90th $589$1,4130%20%10th90th$871Professionalmedian $537 · 10th–90th $302$9330%20%10th90th$537$2.0$10.0$50.0$200.0$1.0K$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
$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