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Prostate Cancer Urine Gene Score

Massachusetts 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 $501 · 10th–90th $200$8320%10%20%10th90th$501Professionalmedian $257 · 10th–90th $170$5500%20%10th90th$257$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$512.86
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$489.78
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$831.76
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$257.04
Typical High
$741.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$724.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$309.03
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$269.15
Typical High
$660.69
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$436.52
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$467.74
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$831.76
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$257.04
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$257.04
Typical High
$524.81