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Prostate Cancer Urine Gene Score

Wisconsin 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 $692 · 10th–90th $275$1,2020%10%20%10th90th$692Professionalmedian $240 · 10th–90th $102$7940%10%10th90th$240$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
$309.03
Median
$562.34
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$208.93
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$691.83
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$812.83
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$436.52
Typical High
$794.33
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$1,096.48
Typical High
$1,659.59
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,698.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$323.59
Typical High
$891.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$794.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$128.82
Network Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$309.03
Typical High
$389.05
Network Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$724.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$870.96
Quartz
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,202.26
Typical High
$1,202.26
Quartz
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$1,288.25
Typical High
$1,288.25
Security Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$537.03
Security Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$691.83
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$204.17
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$338.84