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Prostate Cancer Urine And PSA Risk Test

Louisiana 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?

$933

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $1,047 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$851$457 to $977
FacilityA hospital or hospital-owned outpatient department$1,047$912 to $1,995

How much rates vary

Facilitymedian $1,047 · 10th to 90th $794 to $2,754Professionalmedian $851 · 10th to 90th $166 to $1,148
$200$500$1K$2Kfacility $1,047professional $851

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
$812.83
Median
$1,047.13
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$912.01
Typical High
$1,548.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,479.11
Typical High
$2,398.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$165.96
Typical High
$165.96
Christus
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,445.44
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$691.83
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$380.19
Typical High
$1,071.52

Where Louisiana 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.

Louisiana· 8th of 51

$933

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.