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Hereditary Prostate Cancer RNA Add-On

Ohio 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?

$617

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $1,175 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 8 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$447$339 to $692
FacilityA hospital or hospital-owned outpatient department$1,175$776 to $1,514

How much rates vary

Facilitymedian $1,175 · 10th to 90th $646 to $1,660Professionalmedian $447 · 10th to 90th $339 to $1,175
$500$1K$2K$5Kfacility $1,175professional $447

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
$645.65
Median
$1,230.27
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$588.84
Typical High
$1,659.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$416.87
Typical High
$891.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$9,549.93
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$10,715.19
Typical High
$19,054.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$891.25
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,122.02
Typical High
$3,311.31
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$912.01
Typical High
$3,801.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$758.58
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$691.83
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$794.33

Where Ohio 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.

Ohio· 36th of 51

$617

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.