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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.

Facilitymedian $107 · 10th–90th $107$1950%50%90th$107Professionalmedian $204 · 10th–90th $141$3090%20%10th90th$204$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$309.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$204.17
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