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Prostate Cancer Urine And PSA Risk Test

New Mexico 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 $513$2,5120%20%10th90th$1,148Professionalmedian $708 · 10th–90th $316$9120%20%10th90th$708$500.0$1.0K$2.0K

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
$1,148.15
Median
$2,511.89
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,174.90
Typical High
$1,621.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$758.58
Typical High
$1,479.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$691.83
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$457.09