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Prostate Cancer Urine Gene Score

Washington, DC 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?

$191

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $191 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 5 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$191$191 to $200
FacilityA hospital or hospital-owned outpatient department$191$191 to $309

How much rates vary

Facilitymedian $191 · 10th to 90th $191 to $427Professionalmedian $191 · 10th to 90th $182 to $380
$100$200$500$1K$2Kfacility $191professional $191

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$199.53
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$537.03
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$426.58
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$323.59
Typical High
$1,148.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$446.68
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$309.03
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$114.82
Typical High
$239.88

Where Washington, DC 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.

Washington, DC· 50th of 51

$191

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.