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Prostate Cancer Urine Gene Score

Georgia 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 $871 · 10th–90th $589$1,8200%10%20%10th90th$871Professionalmedian $603 · 10th–90th $302$9550%10%20%10th90th$603$200.0$500.0$1.0K$2.0K$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
$501.19
Median
$1,023.29
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$575.44
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,659.59
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$933.25
Typical High
$4,265.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$5,888.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$891.25
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$691.83
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$1,047.13