go back

Prostate Cancer Urine Gene Score

New Hampshire 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 $1,905 · 10th–90th $1,072$4,3650%10%20%10th90th$1,905Professionalmedian $759 · 10th–90th $490$1,4130%20%10th90th$759$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
$1,071.52
Median
$1,905.46
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$588.84
Typical High
$616.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,479.11
Typical High
$4,365.16
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$489.78
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,454.71
Typical High
$3,311.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$954.99