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Prostate Cancer Urine Gene Score

Iowa 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 $398 · 10th–90th $195$6920%10%20%10th90th$398Professionalmedian $214 · 10th–90th $170$5130%20%10th90th$214$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$194.98
Median
$489.78
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$213.80
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$616.60
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$426.58
Typical High
$457.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$645.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$309.03
Typical High
$1,000.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$562.34
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04