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Prostate Cancer Urine Gene Score

Louisiana 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?

$309

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $347 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$302$263 to $331
FacilityA hospital or hospital-owned outpatient department$347$288 to $646

How much rates vary

Facilitymedian $347 · 10th to 90th $257 to $933Professionalmedian $302 · 10th to 90th $151 to $912
$100$200$500$1Kfacility $347professional $302

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
$269.15
Median
$346.74
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$309.03
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$467.74
Typical High
$676.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$281.84
Typical High
$309.03
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$831.76
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$194.98
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$229.09
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$125.89
Typical High
$302.00

Where Louisiana 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.

Louisiana· 8th of 51

$309

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.