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New York rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Facilitymedian $46 · 10th–90th $17$1170%10%20%10th90th$46Professionalmedian $17 · 10th–90th $9$460%10%20%10th90th$17$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$17.38 / $45.71 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $45.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $50.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.33 / $45.71
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.50 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $40.74 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $93.33
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $26.92 / $69.18
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $13.49 / $37.15
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $19.50 / $24.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $30.90 / $83.18
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.95 / $19.95
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $36.31 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $22.91 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $14.13 / $43.65
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $21.88 / $21.88
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $19.50 / $24.55