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Prostate Cancer Urine Gene Score

Colorado 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 $661 · 10th–90th $195$1,2300%10%10th90th$661Professionalmedian $200 · 10th–90th $107$2750%20%10th90th$200$10.0$50.0$200.0$1.0K$5.0K

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
$162.18
Median
$562.34
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$741.31
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$165.96
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$138.04
Typical High
$371.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$363.08
Typical High
$602.56
Select Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$257.04