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Prostate Cancer Urine Gene Score

New Mexico 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 $513$2,2910%10%20%10th90th$977Professionalmedian $575 · 10th–90th $316$9120%20%10th90th$575$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,290.87
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$912.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$954.99
Typical High
$1,479.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$691.83
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$457.09