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Pennsylvania rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Facilitymedian $65 · 10th–90th $26$1100%10%20%10th90th$65Professionalmedian $19 · 10th–90th $13$620%20%10th90th$19$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
$28.18 / $64.57 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.50 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $30.90
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $74.13 / $151.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $128.82 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $26.30 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $11.48 / $28.18
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $19.50 / $33.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $51.29 / $100.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $17.38
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $72.44 / $151.36
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $45.71 / $81.28
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $32.36
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $141.25 / $204.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $19.50 / $25.70
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $23.99 / $28.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $19.50 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $13.80 / $32.36