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Prostate Cancer Urine Gene Score

Kansas 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 October 2026.

How much does Prostate Cancer Urine Gene Score cost?

$269

Typical negotiated rate. In Kansas, October 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $302 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$257$151 to $316
FacilityA hospital or hospital-owned outpatient department$302$263 to $575

How much rates vary

Facilitymedian $302 · 10th to 90th $229 to $575Professionalmedian $257 · 10th to 90th $123 to $631
$100$200$500$1Kfacility $302professional $257

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$575.44
Typical High
$575.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$257.04
Typical High
$269.15
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$109.65
Median
$128.82
Typical High
$134.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$43.65
Median
$51.29
Typical High
$53.70
BCBS Kansas
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$281.84
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$380.19
Typical High
$501.19
Medica
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$302.00
Typical High
$331.13
Medica
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$151.36
Typical High
$1,288.25
United
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$257.04
United
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$151.36
Typical High
$416.87

Where Kansas sits

The same service costs 5.2 times more in Texas than in New Mexico. 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.

Kansas· 16th of 51

$269

TX $794NM $151

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.