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Prostate Cancer Urine Gene Score

New Jersey 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 $813 · 10th–90th $257$2,2910%20%10th90th$813Professionalmedian $200 · 10th–90th $151$3800%20%40%10th90th$200$100.0$500.0$2.0K$10.0K$50.0K

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
$323.59
Median
$812.83
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$204.17
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$562.34
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$275.42
Typical High
$537.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$269.15
Typical High
$489.78
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$257.04
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$151.36
Typical High
$269.15