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Prostate Cancer Urine Gene Score

Michigan 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 $240 · 10th–90th $240$4470%50%90th$240Professionalmedian $209 · 10th–90th $151$3090%20%10th90th$209$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
$239.88
Median
$239.88
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$213.80
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$295.12
Typical High
$389.05
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$239.88
Typical High
$446.68
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$208.93
Typical High
$346.74
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$257.04
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$117.49
Typical High
$204.17