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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.

Rates data updated July 2026.

How much does Prostate Cancer Urine Gene Score cost?

$347

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $380 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 5 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$316$295 to $603
FacilityA hospital or hospital-owned outpatient department$380$316 to $501

How much rates vary

Facilitymedian $380 · 10th to 90th $257 to $776Professionalmedian $316 · 10th to 90th $110 to $1,698
$100$200$500$1Kfacility $380professional $316

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
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
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
$501.19
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
$87.10
Median
$107.15
Typical High
$213.80

Where Montana 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.

Montana· 5th of 51

$347

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.