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Prostate Cancer Urine And PSA Risk Test

Massachusetts 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 $1,096 · 10th–90th $759$2,2390%10%10th90th$1,096Professionalmedian $759 · 10th–90th $457$1,5490%50%10th90th$759$100.0$500.0$2.0K$10.0K$50.0K

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
$537.03
Median
$1,318.26
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$616.60
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,862.09
Typical High
$3,630.78
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$2,511.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$954.99
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$588.84
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$1,148.15
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,288.25
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,513.56
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,862.09
Typical High
$3,630.78
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$1,737.80