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Prostate Cancer Urine Gene Score

Missouri 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 $741$1,7780%20%10th90th$1,000Professionalmedian $661 · 10th–90th $302$1,3180%10%10th90th$661$10.0$50.0$200.0$1.0K$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
$741.31
Median
$1,288.25
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$660.69
Typical High
$1,548.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$457.09
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,584.89
Typical High
$3,890.45
Medica
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$954.99
Typical High
$3,630.78
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
$891.25