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Prostate Cancer Urine Gene Score

Maine 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 $1,000 · 10th–90th $759$4,8980%20%40%10th90th$1,000Professionalmedian $759 · 10th–90th $457$7760%50%10th90th$759$200.0$500.0$1.0K$2.0K$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
$758.58
Median
$758.58
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$616.60
Typical High
$616.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$4,897.79
Typical High
$5,248.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$436.52
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$912.01
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,905.46
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$616.60
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$1,148.15