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Utah rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Facilitymedian $110 · 10th–90th $16–$1620%20%10th90th$110Professionalmedian $16 · 10th–90th $12–$220%20%10th90th$16$10.0$20.0$50.0$100.0$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
$15.85 / $109.65 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $19.95 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $21.88 / $30.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $83.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.60 / $17.38
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $19.50 / $61.66
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $21.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.96 / $25.70