go back

Wisconsin rates for HCPCS 81551

Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate cancer detection on repeat biopsy

Facilitymedian $4,571 · 10th–90th $2,042$9,5500%10%20%10th90th$4,571Professionalmedian $1,778 · 10th–90th $200$6,0260%10%20%10th90th$1,778$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,570.88 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,621.81 / $2,454.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $6,456.54 / $10,471.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,467.37 / $6,309.57
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $8,511.38 / $12,882.50
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $12,302.69 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,570.40 / $7,079.46
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,230.27 / $6,309.57
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $2,041.74
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,454.71 / $5,754.40
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,235.94 / $5,754.40
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,786.30 / $6,760.83
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $9,549.93 / $9,549.93
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $10,232.93 / $10,232.93
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $4,365.16
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,888.44 / $10,964.78 / $15,488.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,621.81 / $4,365.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,230.27 / $3,090.30