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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.

Rates data updated July 2026.

How much does Prostate Cancer Urine Gene Score cost?

$263

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $380 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$263$240 to $309
FacilityA hospital or hospital-owned outpatient department$380$257 to $575

How much rates vary

Facilitymedian $380 · 10th to 90th $257 to $724Professionalmedian $263 · 10th to 90th $178 to $501
$100$200$500$1Kfacility $380professional $263

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
$457.09
Median
$660.69
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$295.12
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
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$331.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$239.88

Where Idaho 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.

Idaho· 14th of 51

$263

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.