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Prostate Cancer Urine And PSA Risk Test

Maine 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.

Facilitymedian $759 · 10th–90th $759$1,2300%50%90th$759Professionalmedian $589 · 10th–90th $398$7590%20%10th90th$589$200.0$500.0$1.0K$2.0K$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
$758.58
Median
$758.58
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$741.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$891.25
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$323.59
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$912.01
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$588.84
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$1,148.15