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Prostate Cancer Urine Gene Score

Washington 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 $257$1,1480%10%10th90th$380Professionalmedian $240 · 10th–90th $151$5370%10%20%10th90th$240$100.0$200.0$500.0$1.0K$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
$257.04
Median
$478.63
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$501.19
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$512.86
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$588.84
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$269.15
Typical High
$346.74
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$794.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$309.03
Typical High
$676.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$512.86
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$309.03
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$794.33
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$309.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$380.19
Typical High
$676.08
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$288.40
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$257.04
Typical High
$457.09