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Prostate Cancer Urine Gene Score

Florida 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?

$200

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $468 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$182$158 to $219
FacilityA hospital or hospital-owned outpatient department$468$229 to $724

How much rates vary

Facilitymedian $468 · 10th to 90th $191 to $1,023Professionalmedian $182 · 10th to 90th $141 to $275
$10$20$50$100$200$500$1Kfacility $468professional $182

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
$190.55
Median
$616.60
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$190.55
Typical High
$263.03
AvMed
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$257.04
Typical High
$302.00
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$257.04
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$234.42
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$204.17
Typical High
$457.09
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$151.36
Typical High
$151.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$229.09
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$338.84
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$257.04
Typical High
$257.04

Where Florida 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.

Florida· 45th of 51

$200

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.