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Prostate Cancer Urine Gene Score

California 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 $200$2,1880%10%10th90th$537Professionalmedian $219 · 10th–90th $162$9770%20%40%10th90th$219$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$199.53
Median
$1,698.24
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$1,698.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$588.84
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$234.42
Typical High
$524.81
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$588.84
Typical High
$758.58
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$457.09
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$169.82
Typical High
$741.31
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$281.84
Typical High
$346.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$281.84
Typical High
$446.68
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,905.46
Typical High
$1,905.46
Molina
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Providence
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$309.03
Typical High
$758.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$257.04
Typical High
$524.81
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$109.65
Typical High
$549.54