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Prostate Cancer Urine And PSA Risk Test

South Carolina 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?

$603

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $1,862 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 5 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$589$589 to $603
FacilityA hospital or hospital-owned outpatient department$1,862$589 to $2,455

How much rates vary

Facilitymedian $1,862 · 10th to 90th $589 to $3,631Professionalmedian $589 · 10th to 90th $457 to $661
$500$1K$2Kfacility $1,862professional $589

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
$588.84
Median
$1,862.09
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$812.83
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,511.89
Typical High
$4,365.16
Medcost
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$758.58

Where South Carolina 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.

South Carolina· 41st of 51

$603

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.