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Prostate Cancer Urine Gene Score

Connecticut 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 $363 · 10th–90th $251$7080%20%10th90th$363Professionalmedian $204 · 10th–90th $151$4170%20%10th90th$204$10.0$20.0$50.0$100.0$200.0$500.0$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
$257.04
Median
$363.08
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$380.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$398.11
Typical High
$691.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$251.19
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$338.84
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$323.59
Typical High
$537.03
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$288.40
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$213.80
Typical High
$436.52