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Prostate Cancer Urine Gene Score

Hawaii 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.

How much does Prostate Cancer Urine Gene Score cost?

$912

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $912 for this service. Most negotiated rates run $759 to $955.

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 $759 · 10th to 90th $631 to $912Professionalmedian $955 · 10th to 90th $759 to $955
$500$1Kfacility $759professional $955

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
HMSA
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$891.25
Typical High
$954.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$912.01
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$758.58
Typical High
$912.01

Where Hawaii sits

The same service costs 3.4 times more in Alaska than in Nebraska. 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.

Hawaii· 8th of 51

$912

AK $1,698NE $501

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.