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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.

Rates data updated July 2026.

How much does Prostate Cancer Urine Gene Score cost?

$275

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $617 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 7 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$195$138 to $209
FacilityA hospital or hospital-owned outpatient department$617$339 to $1,072

How much rates vary

Facilitymedian $617 · 10th to 90th $195 to $1,288Professionalmedian $195 · 10th to 90th $107 to $275
$100$200$500$1K$2Kfacility $617professional $195

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
$162.18
Median
$562.34
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$194.98
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$758.58
Typical High
$1,288.25
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
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$257.04
Typical High
$389.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$363.08
Typical High
$602.56
Select Health
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$467.74
Typical High
$537.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$380.19
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
$151.36

Where Colorado 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.

Colorado· 11th of 51

$275

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.