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Prostate Cancer Urine Gene Score

Nationwide rates for HCPCS 81313

A urine test, collected straight after a doctor examines the prostate, that measures two prostate-specific genetic messages and reports their ratio as a score. A higher score means a biopsy is more likely to find cancer, so it helps decide whether a biopsy is worth doing when a PSA result is borderline.

Rates data updated July 2026.

How much does Prostate Cancer Urine Gene Score cost?

$251

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $380 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 64 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$209$178 to $282
FacilityA hospital or hospital-owned outpatient department$380$257 to $631

How much rates vary

Facilitymedian $380 · 10th to 90th $204 to $1,047Professionalmedian $209 · 10th to 90th $117 to $490
$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $380professional $209

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
$204.17
Median
$407.38
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$478.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$346.74
Typical High
$1,071.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$165.96
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$524.81
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$309.03
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$257.04
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$151.36
Typical High
$380.19

What it costs in each state

The same service costs 3.0 times more in Alaska than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

AK $575MD $191

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.