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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 July 2026.

How much does Prostate Cancer Urine Gene Score cost?

$275

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $468 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 5 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$245$191 to $316
FacilityA hospital or hospital-owned outpatient department$468$275 to $575

How much rates vary

Facilitymedian $468 · 10th to 90th $257 to $603Professionalmedian $245 · 10th to 90th $151 to $316
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $468professional $245

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
$275.42
Median
$549.54
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$223.87
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$467.74
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$245.47
Typical High
$446.68
Medica
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$288.40
Typical High
$398.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$257.04
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$331.13

Where Kansas sits

The same service costs 3.0 times more in Alaska than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kansas $275 · 12th of 51
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.