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Prostate Cancer Urine Gene Score

Idaho 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 $380 · 10th–90th $257$6610%20%10th90th$380Professionalmedian $240 · 10th–90th $141$4170%10%20%10th90th$240$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
$457.09
Median
$457.09
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$501.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$436.52
Typical High
$912.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$263.03
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$524.81
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$426.58
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$371.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$263.03
Typical High
$316.23
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$912.01
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$269.15
Select Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$239.88