CPT 0403U Pathology/Laboratory
mRNA expression profiling of 18 genes to detect potential risk of prostate Cost
Body System: General
Medicare Facility Rate
$760
CMS PFS CY2026
Medicare Non-Facility Rate
$760
Office/clinic setting
Frequently Asked Questions
How much does mRNA expression profiling of 18 genes to detect potential risk of prostate cost?
The Medicare facility rate is $760. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does mRNA expression profiling of 18 genes to detect potential risk of prostate cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $760.