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Prostate Cancer Urine And PSA Risk Test

New York 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 $1,445 · 10th–90th $646$2,2910%10%10th90th$1,445Professionalmedian $537 · 10th–90th $302$9120%10%20%10th90th$537$200.0$1.0K$5.0K$20.0K

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
$645.65
Median
$1,445.44
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$851.14
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$776.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$1,023.29
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,621.81
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,122.02
Typical High
$3,630.78
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,258.93
Typical High
$2,951.21
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,023.29
Typical High
$1,479.11
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$1,348.96
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,445.44
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$758.58
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$1,023.29
Univera
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$870.96
Univera
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$758.58
Typical High
$1,819.70