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Prostate Cancer Urine Gene Score

Michigan 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 $724 · 10th–90th $692$1,3180%50%10th90th$724Professionalmedian $617 · 10th–90th $417$9120%20%10th90th$617$10.0$50.0$200.0$1.0K

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
$724.44
Median
$724.44
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$724.44
Typical High
$912.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$870.96
Typical High
$1,513.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$933.25
Typical High
$1,698.24
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$912.01
Typical High
$1,862.09
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$1,023.29
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$933.25
Typical High
$1,698.24
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