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Prostate Cancer Urine Gene Score

Kentucky 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 $794 · 10th–90th $617$11,4820%20%10th90th$794Professionalmedian $457 · 10th–90th $257$8320%20%10th90th$457$100.0$500.0$2.0K$10.0K$50.0K

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
$616.60
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$602.56
Typical High
$758.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$758.58
Typical High
$794.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$302.00
Typical High
$302.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$11,481.54
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,122.02
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$758.58