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Hereditary Prostate Cancer RNA Add-On

North Carolina 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?

$692

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $1,000 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 6 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$692$589 to $955
FacilityA hospital or hospital-owned outpatient department$1,000$661 to $2,188

How much rates vary

Facilitymedian $1,000 · 10th to 90th $550 to $2,291Professionalmedian $692 · 10th to 90th $417 to $1,479
$500$1K$2K$5Kfacility $1,000professional $692

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
$1,202.26
Median
$2,187.76
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$2,290.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$691.83
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,513.56
Typical High
$3,162.28
Medcost
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$616.60
Typical High
$1,000.00
Medcost
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$812.83
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$724.44
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$5,128.61

Where North Carolina 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.

North Carolina· 24th of 51

$692

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.