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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.

Facilitymedian $251 · 10th–90th $209$3090%10%20%10th90th$251Professionalmedian $245 · 10th–90th $200$4170%20%10th90th$245$100.0$200.0$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
$208.93
Median
$251.19
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$218.78
Typical High
$416.87
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