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Prostate Cancer Urine And PSA Risk Test

New Jersey 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 $1,148 · 10th–90th $871$5,4950%20%10th90th$1,148Professionalmedian $603 · 10th–90th $417$8710%10%20%10th90th$603$100.0$500.0$2.0K$10.0K

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
$977.24
Median
$1,000.00
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,659.59
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,023.29
Typical High
$1,659.59
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$9,332.54
Typical High
$25,703.96
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$758.58
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$794.33