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Prostate Cancer Urine Gene Score

Maine 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 $257 · 10th–90th $257$1,1480%50%90th$257Professionalmedian $204 · 10th–90th $151$2750%20%10th90th$204$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
$257.04
Median
$257.04
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$295.12
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$151.36
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$257.04
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$309.03
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$199.53
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$257.04
Typical High
$389.05