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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.

Facilitymedian $417 · 10th–90th $200$1,3490%10%10th90th$417Professionalmedian $234 · 10th–90th $151$4170%20%10th90th$234$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
$199.53
Median
$489.78
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$239.88
Typical High
$630.96
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
$380.19
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
$257.04
Typical High
$389.05
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$109.65
Typical High
$281.84