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Prostate Cancer Urine Gene Score

Montana 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 $380 · 10th–90th $257$7760%20%10th90th$380Professionalmedian $245 · 10th–90th $151$7760%10%20%10th90th$245$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
Professional
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$436.52
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$776.25
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$776.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$436.52
Typical High
$1,445.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$213.80