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Prostate Cancer Urine Gene Score

South Carolina 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 $468 · 10th–90th $178$1,2020%10%20%10th90th$468Professionalmedian $204 · 10th–90th $170$3090%20%40%10th90th$204$10.0$20.0$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
$177.83
Median
$630.96
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$204.17
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$269.15
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$831.76
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$120.23
Typical High
$269.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$229.09
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$128.82
Typical High
$257.04