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Prostate Cancer Urine Gene Score

South Carolina 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 $1,862 · 10th–90th $589$3,6310%10%20%10th90th$1,862Professionalmedian $589 · 10th–90th $457$6610%50%10th90th$589$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
$588.84
Median
$1,862.09
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$5,011.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$812.83
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,949.84
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Medcost
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$758.58