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Prostate Cancer Urine Gene Score

Nevada 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.

How much does Prostate Cancer Urine Gene Score cost?

$646

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $1,202 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$589$427 to $759
FacilityA hospital or hospital-owned outpatient department$1,202$646 to $4,074

How much rates vary

Facilitymedian $1,202 · 10th to 90th $589 to $4,074Professionalmedian $589 · 10th to 90th $302 to $933
$50$100$200$500$1K$2K$5Kfacility $1,202professional $589

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,445.44
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$588.84
Typical High
$1,023.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$645.65
Typical High
$1,819.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$933.25
Typical High
$1,122.02
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$758.58
Typical High
$1,174.90
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Select Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Select Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$758.58
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$316.23
Typical High
$831.76

Where Nevada sits

The same service costs 3.4 times more in Alaska than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nevada· 34th of 51

$646

AK $1,698NE $501

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.