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Wisconsin rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Facilitymedian $112 · 10th–90th $19$2290%5%10%10th90th$112Professionalmedian $19 · 10th–90th $11$950%10%10th90th$19$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
$19.50 / $131.83 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.50 / $102.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $52.48 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $77.62
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $20.42
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $61.66 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $27.54 / $60.26
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $41.69 / $147.91
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $112.20 / $204.17
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $15.49 / $60.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $28.84 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $31.62 / $54.95
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $45.71 / $67.61
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $95.50
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $40.74
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $104.71 / $147.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $16.22 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $15.49 / $41.69