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Prostate Cancer Urine Gene Score

Georgia 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 $331 · 10th–90th $170$8510%10%20%10th90th$331Professionalmedian $209 · 10th–90th $141$3890%20%40%10th90th$209$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$169.82
Median
$467.74
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$213.80
Typical High
$309.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$295.12
Typical High
$354.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$199.53
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$501.19
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$257.04
Typical High
$812.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$331.13
Typical High
$562.34
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$229.09
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$331.13