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Prostate Cancer Urine Gene Score

Hawaii 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?

$309

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $309 for this service. Most negotiated rates run $263 to $331.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $251 · 10th to 90th $209 to $309Professionalmedian $324 · 10th to 90th $263 to $457
$200$500facility $251professional $324

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
$208.93
Median
$251.19
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
HMSA
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$331.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$309.03
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$213.80
Typical High
$371.54
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$371.54
Typical High
$575.44

Where Hawaii 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.

Hawaii· 7th of 51

$309

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.