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Hereditary Prostate Cancer RNA Add-On

Illinois rates for HCPCS 0133U

Adds RNA analysis of eleven genes linked to inherited prostate cancer risk to a main genetic test. Reading the genes' working copies helps clarify DNA changes whose meaning is uncertain.

Rates data updated July 2026.

How much does Hereditary Prostate Cancer RNA Add-On cost?

$871

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $1,072 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$380 to $977
FacilityA hospital or hospital-owned outpatient department$1,072$776 to $1,413

How much rates vary

Facilitymedian $1,072 · 10th to 90th $692 to $1,738Professionalmedian $589 · 10th to 90th $380 to $1,413
$200$500$1K$2Kfacility $1,072professional $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
$676.08
Median
$1,071.52
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$588.84
Typical High
$1,412.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$933.25
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,584.89
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$831.76
Typical High
$1,000.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$933.25
Typical High
$1,288.25
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$1,380.38
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$691.83

Where Illinois sits

The same service costs 4.3 times more in Alaska than in Delaware. 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.

Illinois· 6th of 51

$871

AK $1,549DE $363

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.