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Prostate Cancer Urine Gene Score

Rhode Island 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 $575 · 10th–90th $295$5750%50%10th$575Professionalmedian $200 · 10th–90th $151$6310%20%10th90th$200$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
$575.44
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$199.53
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$295.12
Typical High
$323.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$190.55
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$707.95
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$380.19