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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.

Facilitymedian $257 · 10th–90th $191$7590%10%20%10th90th$257Professionalmedian $200 · 10th–90th $107$3240%10%10th90th$200$5.0$20.0$100.0$500.0$2.0K

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
$190.55
Median
$257.04
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$199.53
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$676.08
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
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
$229.09
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$151.36