go back

Prostate Cancer Screening, PSA Test

Tennessee rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Rates data updated July 2026.

How much does Prostate Cancer Screening, PSA Test cost?

$25.12

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $17.38 from a physician practice, and about $97.72 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$17.38$14.45 to $25.12
FacilityA hospital or hospital-owned outpatient department$97.72$54.95 to $170

How much rates vary

Facilitymedian $98 · 10th to 90th $18 to $209Professionalmedian $17 · 10th to 90th $14 to $60
$1$10$100facility $98professional $17

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$102.33
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$16.60
Typical High
$60.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$9.55
Typical High
$30.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$25.12
Typical High
$25.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$40.74
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$21.88
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$18.20
Typical High
$19.50
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$13.80
Typical High
$25.70

Where Tennessee sits

The same service costs 9.1 times more in West Virginia than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Tennessee· 28th of 51

$25.12

WV $132DC $14.45

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.