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Prostate Cancer Urine Gene Score

Alaska 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.

Facilitymedian $708 · 10th–90th $257$1,8200%20%40%10th90th$708Professionalmedian $240 · 10th–90th $170$7590%20%10th90th$240$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$1,819.70
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$1,230.27
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$812.83
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$933.25
Typical High
$1,047.13
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$575.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$707.95
Typical High
$1,230.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$776.25