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Prostate Cancer Urine Gene Score

North Carolina 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 $933 · 10th–90th $603$2,5120%10%20%10th90th$933Professionalmedian $603 · 10th–90th $417$9120%20%10th90th$603$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
$602.56
Median
$2,398.83
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$758.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$758.58
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,659.59
Typical High
$3,467.37
Medcost
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$1,096.48
Medcost
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$891.25
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$870.96
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$5,754.40