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Prostate Cancer Urine And PSA Risk Test

Virginia 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.

Facilitymedian $813 · 10th–90th $646$2,9510%20%10th90th$813Professionalmedian $575 · 10th–90th $302$9120%10%20%10th90th$575$100.0$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
$1,584.89
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$616.60
Typical High
$1,445.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$512.86
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$645.65
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,513.56
Typical High
$3,890.45
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$1,071.52
Medcost
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$758.58
Typical High
$1,288.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,584.89
Sentara
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$912.01
Typical High
$1,949.84
Sentara
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$912.01
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$380.19
Typical High
$870.96