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Prostate Cancer Urine Gene Score

Texas 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 $380 · 10th–90th $178$1,2020%5%10%10th90th$380Professionalmedian $200 · 10th–90th $141$3470%10%10th90th$200$5.0$20.0$100.0$500.0$2.0K

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
$478.63
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$309.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.50
Typical High
$141.25
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$257.04
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$562.34
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$239.88
Typical High
$467.74
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$758.58
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$229.09
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$257.04
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$269.15
Typical High
$933.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$275.42
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$257.04
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$213.80
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$177.83
Typical High
$257.04