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Prostate Cancer Urine Gene Score

Oklahoma 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?

$214

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $257 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 4 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$191$107 to $275
FacilityA hospital or hospital-owned outpatient department$257$191 to $316

How much rates vary

Facilitymedian $257 · 10th to 90th $191 to $646Professionalmedian $191 · 10th to 90th $107 to $324
$100$200$500$1Kfacility $257professional $191

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
$190.55
Median
$257.04
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$676.08
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$380.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$446.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$239.88
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$169.82

Where Oklahoma 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.

Oklahoma· 37th of 51

$214

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.