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Prostate Cancer Urine Gene Score

Wyoming 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 $331 · 10th–90th $234$5130%10%20%10th90th$331Professionalmedian $398 · 10th–90th $257$8130%20%10th90th$398$100.0$200.0$500.0

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
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$416.87
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$416.87
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$213.80