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Prostate Cancer Urine Gene Score

Missouri 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 $331 · 10th–90th $245$5370%10%10th90th$331Professionalmedian $214 · 10th–90th $110$4270%10%20%10th90th$214$10.0$50.0$200.0$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
$245.47
Median
$426.58
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$213.80
Typical High
$416.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$186.21
Typical High
$457.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$501.19
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$199.53
Typical High
$389.05
Medica
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$1,202.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$257.04
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$309.03