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Nebraska rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Facilitymedian $89 · 10th–90th $28–$2190%5%10%10th90th$89Professionalmedian $58 · 10th–90th $12–$910%20%10th90th$58$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$30.20 / $91.20 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $57.54 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $28.84 / $47.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $43.65 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $30.20 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $22.91 / $27.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $107.15 / $151.36
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.48 / $34.67
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $11.48 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $11.48 / $21.38