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Prostate Cancer Urine Gene Score

Vermont 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 $257$4270%20%10th90th$295Professionalmedian $200 · 10th–90th $200$2880%50%90th$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$302.00
Typical High
$575.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$288.40
Typical High
$562.34