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Prostate Cancer Urine Gene Score

New Jersey 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 $1,259 · 10th–90th $955$5,4950%20%10th90th$1,259Professionalmedian $603 · 10th–90th $417$8710%10%20%10th90th$603$100.0$500.0$2.0K$10.0K

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
$977.24
Median
$1,000.00
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$616.60
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,659.59
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,000.00
Typical High
$1,659.59
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$9,549.93
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$676.08
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$758.58
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$794.33