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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.

Rates data updated July 2026.

How much does Prostate Cancer Urine Gene Score cost?

$240

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $240 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$204$178 to $240
FacilityA hospital or hospital-owned outpatient department$240$240 to $302

How much rates vary

Facilitymedian $240 · 10th to 90th $229 to $447Professionalmedian $204 · 10th to 90th $110 to $295
$20$50$100$200$500facility $240professional $204

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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
$141.25
Median
$239.88
Typical High
$302.00
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
$257.04
Typical High
$389.05
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$239.88
Typical High
$446.68
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$199.53
Typical High
$309.03
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$257.04
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$117.49
Typical High
$213.80

Where Michigan 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.

Michigan· 26th of 51

$240

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.