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Prostate Cancer Urine Gene Score

Tennessee 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 $170$8510%10%20%10th90th$257Professionalmedian $204 · 10th–90th $151$3390%20%10th90th$204$10.0$50.0$200.0$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
$190.55
Median
$239.88
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$204.17
Typical High
$323.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$257.04
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$537.03
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$354.81
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,905.46
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$128.82
Typical High
$263.03