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Michigan rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Facilitymedian $59 · 10th–90th $18–$1070%5%10%10th90th$59Professionalmedian $19 · 10th–90th $13–$510%20%10th90th$19$0.5$2.0$10.0$50.0$200.0

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
$18.20 / $58.88 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.50 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.88 / $26.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $21.88 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $21.38 / $27.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $61.66 / $165.96
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.91 / $40.74
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $20.42 / $23.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $17.38 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $15.14 / $21.38