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Prostate Cancer Urine Gene Score

Iowa 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 $1,148 · 10th–90th $589$2,1880%10%20%10th90th$1,148Professionalmedian $661 · 10th–90th $457$1,6220%10%20%10th90th$661$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
$588.84
Median
$1,778.28
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$588.84
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,819.70
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$977.24
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$2,041.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$776.25
Typical High
$3,019.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$933.25
Typical High
$933.25
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$831.76
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$1,905.46
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58