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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.

Facilitymedian $617 · 10th–90th $178$1,2590%10%10th90th$617Professionalmedian $200 · 10th–90th $141$3240%20%10th90th$200$5.0$20.0$100.0$500.0

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
$181.97
Median
$660.69
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$323.59
AvMed
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$257.04
Typical High
$302.00
AvMed
Setting
Professional
Modifier
Global
Typical Low
$10.96
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
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
$181.97
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