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Prostate Cancer Urine And PSA Risk Test

Wisconsin 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 June 2026.

Facilitymedian $2,089 · 10th–90th $759$3,6310%20%10th90th$2,089Professionalmedian $692 · 10th–90th $302$2,2390%10%10th90th$692$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
$912.01
Median
$2,089.30
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$616.60
Typical High
$912.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,041.74
Typical High
$2,089.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$302.00
Typical High
$2,691.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,454.71
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,905.46
Typical High
$2,398.83
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,162.28
Typical High
$4,786.30
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$5,011.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$2,630.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$457.09
Typical High
$2,344.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$912.01
Typical High
$2,187.76
Network Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,202.26
Typical High
$1,778.28
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,778.28
Typical High
$2,511.89
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,630.78
Typical High
$3,630.78
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$3,801.89
Typical High
$3,801.89
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$4,168.69
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$602.56
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$1,148.15