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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.

Facilitymedian $537 · 10th–90th $234$1,2590%10%10th90th$537Professionalmedian $200 · 10th–90th $141$4680%20%40%10th90th$200$0.5$2.0$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
$302.00
Median
$776.25
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$1,047.13
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$380.19
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$389.05
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
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$213.80