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Prostate Cancer Urine Gene Score

New Hampshire 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 $776 · 10th–90th $417$1,6220%10%20%10th90th$776Professionalmedian $229 · 10th–90th $151$4680%20%10th90th$229$10.0$50.0$200.0$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
$354.81
Median
$645.65
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$229.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$489.78
Typical High
$1,479.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$954.99
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$263.03
Typical High
$1,071.52
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$257.04
Typical High
$707.95