go back

Prostate Cancer Urine And PSA Risk Test

Illinois 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 June 2026.

Facilitymedian $1,259 · 10th–90th $759$2,2910%10%10th90th$1,259Professionalmedian $617 · 10th–90th $501$9550%20%10th90th$617$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
$776.25
Median
$1,318.26
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$645.65
Typical High
$912.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,023.29
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,445.44
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$933.25
Typical High
$1,122.02
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$1,023.29
Typical High
$1,412.54
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$758.58