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Prostate Cancer Urine Gene Score

Oregon 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 $288 · 10th–90th $257$7240%20%40%10th90th$288Professionalmedian $240 · 10th–90th $158$4170%10%10th90th$240$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
$316.23
Median
$389.05
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$239.88
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$676.08
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$281.84
Typical High
$457.09
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$549.54
Typical High
$676.08
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$257.04
Typical High
$371.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$263.03
Typical High
$371.54
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$512.86
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$354.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$741.31
Providence
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$281.84
Typical High
$363.08
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$758.58
Typical High
$1,047.13
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$218.78
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$380.19
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$309.03