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Prostate Cancer Urine Gene Score

Nebraska 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 $977 · 10th–90th $457$1,9950%10%10th90th$977Professionalmedian $501 · 10th–90th $457$1,4450%20%40%10th90th$501$500.0$1.0K$2.0K

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
$537.03
Median
$1,995.26
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$2,238.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,174.90
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,445.44
Typical High
$1,819.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$954.99
Typical High
$3,630.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$2,187.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$724.44
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$457.09
Typical High
$2,089.30