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Prostate Cancer Urine Gene Score

Florida 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 $1,413 · 10th–90th $550$3,7150%10%10th90th$1,413Professionalmedian $537 · 10th–90th $437$7590%20%10th90th$537$10.0$50.0$200.0$1.0K$5.0K

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
$549.54
Median
$2,089.30
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$537.03
Typical High
$691.83
AvMed
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
AvMed
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$562.34
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$933.25
Typical High
$3,630.78
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$645.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$691.83
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$323.59
Typical High
$1,000.00
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$758.58