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Prostate Cancer Urine And PSA Risk Test

North Carolina 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 $933 · 10th–90th $603$2,5120%10%20%10th90th$933Professionalmedian $603 · 10th–90th $501$9120%20%10th90th$603$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
$602.56
Median
$2,398.83
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$758.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$691.83
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,659.59
Typical High
$3,467.37
Medcost
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$691.83
Typical High
$1,096.48
Medcost
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$891.25
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$870.96
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$5,754.40