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Prostate Cancer Urine Gene Score

Arizona 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?

$204

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $447 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 5 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$191$170 to $204
FacilityA hospital or hospital-owned outpatient department$447$363 to $1,072

How much rates vary

Facilitymedian $447 · 10th to 90th $234 to $1,202Professionalmedian $191 · 10th to 90th $107 to $347
$100$200$500$1Kfacility $447professional $191

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
$302.00
Median
$426.58
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$190.55
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$1,047.13
Typical High
$1,949.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$363.08
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$295.12
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$229.09
Typical High
$389.05
Medica
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$446.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$213.80

Where Arizona sits

The same service costs 3.0 times more in Alaska than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 43rd of 51

$204

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.