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Prostate Cancer Urine Gene Score

Arizona 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 $513$3,0200%10%10th90th$1,175Professionalmedian $589 · 10th–90th $417$7410%20%40%10th90th$589$1.0$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
$588.84
Median
$1,513.56
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$741.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$1,258.93
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$302.00
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$588.84
Typical High
$1,778.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$758.58
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$457.09