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Prostate Cancer Urine And PSA Risk Test

Tennessee 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 $646 · 10th–90th $457$2,6920%20%10th90th$646Professionalmedian $603 · 10th–90th $457$8320%20%40%10th90th$603$200.0$500.0$1.0K$2.0K$5.0K

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
$575.44
Median
$602.56
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$602.56
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$1,548.82
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,754.40
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$758.58