go back

Bladder Cancer Detection Urine Score

Delaware rates for HCPCS 0012M

Estimates the likelihood that urothelial cancer, which affects the lining of the bladder, is present in someone not previously diagnosed. It measures the activity of five genes — MDK, HOXA13, CDK1, IGFBP5 and CXCR2 — in urine and reports one combined score.

Rates data updated July 2026.

How much rates vary

Facilitymedian $871 · 10th to 90th $871 to $871Professionalmedian $513 · 10th to 90th $407 to $631
$500$1Kfacility $871professional $513

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$1,148.15