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Prostate Cancer Urine Gene Score

Connecticut 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 July 2026.

Facilitymedian $1,202 · 10th–90th $759$2,1380%10%20%10th90th$1,202Professionalmedian $501 · 10th–90th $407$8510%20%10th90th$501$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
$758.58
Median
$1,096.48
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,202.26
Typical High
$2,041.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$758.58
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,819.70
Typical High
$4,365.16
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,412.54
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$1,000.00