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Prostate Cancer Urine Gene Score

Texas 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 $912 · 10th–90th $457$3,3880%10%10th90th$912Professionalmedian $501 · 10th–90th $417$7590%20%10th90th$501$100.0$200.0$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
$457.09
Median
$912.01
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$501.19
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$776.25
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,513.56
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$933.25
Typical High
$1,122.02
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$5,754.40
Typical High
$5,754.40
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$758.58
Typical High
$1,258.93
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$776.25
Typical High
$1,148.15
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$831.76
Typical High
$1,621.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$2,238.72
Providence
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$794.33
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$758.58
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$758.58
Typical High
$1,023.29