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Prostate Cancer Urine Gene Score

Alabama 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 $240 · 10th–90th $166$3800%10%20%10th90th$240Professionalmedian $204 · 10th–90th $151$3090%10%20%10th90th$204$10.0$50.0$200.0$1.0K

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
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$295.12
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$208.93
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$194.98
Typical High
$263.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$213.80
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$120.23
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$229.09
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$107.15
Typical High
$190.55