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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.

Rates data updated July 2026.

How much does Prostate Cancer Urine Gene Score cost?

$204

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $295 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$204$200 to $224
FacilityA hospital or hospital-owned outpatient department$295$200 to $513

How much rates vary

Facilitymedian $295 · 10th to 90th $200 to $513Professionalmedian $204 · 10th to 90th $117 to $282
$100$200$500$1Kfacility $295professional $204

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
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
$263.03
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
$218.78
Typical High
$281.84
Select Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
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
$109.65
Typical High
$213.80

Where Utah sits

The same service costs 3.0 times more in Alaska than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 42nd of 51

$204

AK $575MD $191

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.