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Prostate Cancer Urine Gene Score

Arkansas 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 $324 · 10th–90th $288$4470%20%10th90th$324Professionalmedian $204 · 10th–90th $158$3240%20%10th90th$204$10.0$20.0$50.0$100.0$200.0$500.0$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
$323.59
Median
$323.59
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$323.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$398.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$316.23
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$331.13
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$257.04
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$128.82
Typical High
$251.19