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Prostate Cancer Urine And PSA Risk Test

Nebraska 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?

$501

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $977 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 6 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$501$457 to $912
FacilityA hospital or hospital-owned outpatient department$977$537 to $1,995

How much rates vary

Facilitymedian $977 · 10th to 90th $457 to $1,995Professionalmedian $501 · 10th to 90th $457 to $1,445
$500$1K$2Kfacility $977professional $501

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
$537.03
Median
$1,995.26
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$2,238.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,174.90
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,445.44
Typical High
$1,819.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$501.19
Typical High
$3,630.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$2,187.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$724.44
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$457.09
Typical High
$2,089.30

Where Nebraska 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.

Nebraska· 51st of 51

$501

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.