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Prostate Cancer Urine Gene Score

New Mexico 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 $759 · 10th–90th $170$8510%20%40%10th90th$759Professionalmedian $240 · 10th–90th $151$4170%10%20%10th90th$240$10.0$20.0$50.0$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
$380.19
Median
$812.83
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$229.09
Typical High
$288.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$549.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$501.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$288.40
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$234.42
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$151.36