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Prostate Cancer Urine Gene Score

Kansas 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 June 2026.

Facilitymedian $1,318 · 10th–90th $603$2,4550%10%10th90th$1,318Professionalmedian $617 · 10th–90th $501$7760%20%10th90th$617$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
$741.31
Median
$1,412.54
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$758.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,380.38
Typical High
$1,737.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$812.83
Typical High
$1,096.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$758.58