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Prostate Cancer Urine Gene Score

Utah 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 $295 · 10th–90th $200$5130%20%10th90th$295Professionalmedian $200 · 10th–90th $141$3240%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
$199.53
Median
$512.86
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$269.15
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$275.42
Typical High
$537.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$1,023.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$229.09
Typical High
$281.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$281.84
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$223.87
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$213.80