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Prostate Cancer Urine And PSA Risk Test

New Hampshire 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 October 2026.

How much does Prostate Cancer Urine And PSA Risk Test cost?

$617

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $617 for this service. Most negotiated rates run $490 to $1,413.

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.

How much rates vary

Facilitymedian $2,455 · 10th to 90th $1,318 to $4,074Professionalmedian $490 · 10th to 90th $316 to $1,413
$500$1K$2K$5Kfacility $2,455professional $490

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$616.60
Typical High
$616.60
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$2,454.71
Typical High
$4,073.80
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$489.78
Typical High
$489.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$2,454.71
Typical High
$3,630.78
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$758.58
Typical High
$2,454.71
United
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$457.09
Typical High
$758.58

Where New Hampshire sits

The same service costs 10.0 times more in Texas than in Mississippi. 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.

New Hampshire· 30th of 51

$617

TX $3,802MS $380

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.