go back

Prostate Cancer Urine Gene Score

Kentucky 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 $200$6170%20%10th90th$257Professionalmedian $200 · 10th–90th $151$2570%50%10th90th$200$10.0$20.0$50.0$100.0$200.0$500.0$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
$199.53
Median
$257.04
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$204.17
Typical High
$257.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$257.04
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$199.53
CareSource
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$354.81
Typical High
$489.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$331.13
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$1,230.27
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$112.20
Typical High
$257.04