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Prostate Cancer Urine Gene Score

North Dakota 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?

$389

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $389 for this service. Most negotiated rates run $240 to $513.

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.

How much rates vary

Facilitymedian $182 · 10th to 90th $178 to $457Professionalmedian $437 · 10th to 90th $178 to $589
$200$500facility $182professional $437

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
$177.83
Median
$177.83
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$758.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$363.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$457.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$309.03
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$263.03
Typical High
$389.05

Where North Dakota 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.

North Dakota· 4th of 51

$389

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.