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Prostate Cancer Urine Gene Score

Indiana 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 $257 · 10th–90th $257$7590%20%40%90th$257Professionalmedian $204 · 10th–90th $102$2450%20%40%10th90th$204$10.0$50.0$200.0$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
$257.04
Median
$398.11
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$208.93
Typical High
$245.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$234.42
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$128.82
Typical High
$281.84