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Prostate Cancer Urine Gene Score

Mississippi 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 $229$5130%20%10th90th$257Professionalmedian $240 · 10th–90th $178$4680%10%10th90th$240$100.0$200.0$500.0

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
$467.74
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$239.88
Typical High
$467.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$173.78
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$194.98
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$229.09
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$151.36
Typical High
$398.11