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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.

Rates data updated July 2026.

How much does Prostate Cancer Urine Gene Score cost?

$257

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $331 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$224$145 to $302
FacilityA hospital or hospital-owned outpatient department$331$257 to $447

How much rates vary

Facilitymedian $331 · 10th to 90th $229 to $589Professionalmedian $224 · 10th to 90th $102 to $501
$100$200$500$1Kfacility $331professional $224

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
$245.47
Median
$426.58
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$223.87
Typical High
$512.86
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
$169.82
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
$537.03
Typical High
$1,096.48
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
$346.74

Where Missouri 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.

Missouri· 18th of 51

$257

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.