go back

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.

Rates data updated July 2026.

How much does Prostate Cancer Urine Gene Score cost?

$209

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $257 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 4 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$209$141 to $209
FacilityA hospital or hospital-owned outpatient department$257$257 to $513

How much rates vary

Facilitymedian $257 · 10th to 90th $257 to $759Professionalmedian $209 · 10th to 90th $102 to $229
$100$200$500$1K$2Kfacility $257professional $209

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
$208.93
Median
$281.84
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$208.93
Typical High
$229.09
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
$134.90
Median
$234.42
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$309.03

Where Indiana 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.

Indiana· 39th of 51

$209

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.