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Prostate Cancer Urine Gene Score

Rhode Island 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 $2,188 · 10th–90th $912$4,3650%20%10th90th$2,188Professionalmedian $537 · 10th–90th $457$5750%50%10th90th$537$1.0$5.0$20.0$100.0$500.0$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
$2,187.76
Median
$3,467.37
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$1,621.81
Typical High
$1,995.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$1,096.48