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Prostate Cancer Urine Gene Score

Indiana 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 $759 · 10th–90th $759$2,2910%50%90th$759Professionalmedian $617 · 10th–90th $302$6610%20%40%10th90th$617$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$758.58
Median
$831.76
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$616.60
Typical High
$660.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$2,290.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$302.00
Typical High
$602.56
CareSource
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$10,964.78
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$933.25
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$831.76