go back

Prostate Cancer Urine Gene Score

Nebraska 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 $603 · 10th–90th $170$1,2590%10%10th90th$603Professionalmedian $195 · 10th–90th $151$1,6980%20%10th90th$195$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
Facility
Modifier
Global
Typical Low
$512.86
Median
$676.08
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$398.11
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$489.78
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$389.05
Typical High
$1,202.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$524.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$512.86