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Prostate Cancer Urine Gene Score

Washington, DC 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 October 2026.

How much does Prostate Cancer Urine Gene Score cost?

$575

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $575 for this service. Most negotiated rates run $550 to $603.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,288 · 10th to 90th $575 to $2,884Professionalmedian $575 · 10th to 90th $339 to $708
$500$1K$2Kfacility $1,288professional $575

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$575.44
Typical High
$575.44
CareFirst
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,288.25
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$977.24
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,318.26
Typical High
$1,548.82
United
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$457.09
Typical High
$912.01

Where Washington, DC sits

The same service costs 7.8 times more in Texas than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington, DC· 36th of 51

$575

TX $3,548DE $457

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.