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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.

Facilitymedian $309 · 10th–90th $191$1,5490%20%40%10th90th$309Professionalmedian $200 · 10th–90th $158$4170%20%40%10th90th$200$0.5$2.0$10.0$50.0$200.0$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
$190.55
Median
$190.55
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$199.53
Typical High
$295.12
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$208.93
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
$1,995.26
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