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Prostate Cancer Urine Gene Score

Nevada 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?

$240

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $398 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$200$141 to $295
FacilityA hospital or hospital-owned outpatient department$398$214 to $1,349

How much rates vary

Facilitymedian $398 · 10th to 90th $200 to $1,349Professionalmedian $200 · 10th to 90th $102 to $501
$50$100$200$500$1Kfacility $398professional $200

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
$199.53
Median
$489.78
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$1,698.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$213.80
Typical High
$616.60
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$295.12
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$309.03
Typical High
$371.54
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$263.03
Typical High
$389.05
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Select Health
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Select Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$257.04
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$151.36
Typical High
$281.84

Where Nevada 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.

Nevada· 28th of 51

$240

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.