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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.

Facilitymedian $347 · 10th–90th $257$1,1750%10%10th90th$347Professionalmedian $204 · 10th–90th $141$3890%10%10th90th$204$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
$269.15
Median
$354.81
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$416.87
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
$107.15
Median
$229.09
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$302.00