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Prostate Cancer Urine Gene Score

Nationwide rates for HCPCS 0005U

Estimates the chance that a prostate biopsy would find cancer, using urine instead of tissue. It measures the activity of three genes — ERG, PCA3 and SPDEF — in a urine sample and reports a combined risk score.

Rates data updated June 2026.

Facilitymedian $1,175 · 10th–90th $646$3,4670%20%10th90th$1,175Professionalmedian $617 · 10th–90th $417$9550%20%40%10th90th$617$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$645.65
Median
$1,318.26
Typical High
$3,467.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$616.60
Typical High
$870.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,023.29
Typical High
$3,467.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,445.44
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$912.01