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Prostate Cancer Urine Gene Score

Idaho 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 $759$2,3990%20%10th90th$1,148Professionalmedian $776 · 10th–90th $537$1,4790%20%40%10th90th$776$50.0$100.0$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
$1,380.38
Median
$1,995.26
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$870.96
Typical High
$1,479.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,318.26
Typical High
$2,754.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$776.25
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$758.58
Typical High
$1,479.11
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$954.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,479.11
Typical High
$2,754.23
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$794.33
Select Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$977.24
Select Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$758.58