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Prostate Cancer Urine Gene Score

Illinois 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 $617$1,6220%10%20%10th90th$1,148Professionalmedian $617 · 10th–90th $417$1,3180%20%10th90th$617$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
$616.60
Median
$1,148.15
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$1,548.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,023.29
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,659.59
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$933.25
Typical High
$1,122.02
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$1,023.29
Typical High
$1,412.54
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$758.58