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Prostate Cancer Urine Gene Score

Maryland 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?

$191

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $191 for this service. Most negotiated rates run $182 to $219.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $107 · 10th to 90th $107 to $195Professionalmedian $191 · 10th to 90th $115 to $295
$100$200$500$1Kfacility $107professional $191

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$199.53
Typical High
$281.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$158.49
Typical High
$446.68
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$114.82
Typical High
$213.80
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82

Where Maryland 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.

Maryland· 51st of 51

$191

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.