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Hereditary Prostate Cancer RNA Add-On

Pennsylvania 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?

$589

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $562 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 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$562$417 to $589
FacilityA hospital or hospital-owned outpatient department$1,072$692 to $1,549

How much rates vary

Facilitymedian $1,072 · 10th to 90th $589 to $2,344Professionalmedian $562 · 10th to 90th $363 to $759
$500$1K$2Kfacility $1,072professional $562

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
$588.84
Median
$1,318.26
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$562.34
Typical High
$588.84
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,071.52
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$977.24
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,148.15
Typical High
$1,737.80
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,318.26
Typical High
$2,454.71
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$562.34
Typical High
$1,071.52
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$758.58
Typical High
$1,698.24
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$691.83
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$912.01

Where Pennsylvania 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.

Pennsylvania· 38th of 51

$589

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.