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Prostate Cancer Urine Gene Score

South Dakota 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 $490 · 10th–90th $240$4900%50%10th$490Professionalmedian $240 · 10th–90th $170$6170%20%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
$239.88
Median
$239.88
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$288.40
Typical High
$794.33
Medica
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$1,288.25
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$588.84
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$338.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04