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Urine Test For Prostate Cancer Likelihood

Colorado rates for HCPCS 0228U

Estimates the likelihood that a man has prostate cancer from a urine sample. The sample is read on a nanoparticle-based array and the resulting pattern is interpreted by machine learning software.

Rates data updated July 2026.

How much does Urine Test For Prostate Cancer Likelihood cost?

$209

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $479 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 7 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$132$117 to $148
FacilityA hospital or hospital-owned outpatient department$479$288 to $724

How much rates vary

Facilitymedian $479 · 10th to 90th $174 to $871Professionalmedian $132 · 10th to 90th $72 to $162
$100$200$500$1Kfacility $479professional $132

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
$173.78
Median
$602.56
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$138.04
Typical High
$162.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$512.86
Typical High
$870.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$89.13
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$112.20
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$208.93
Typical High
$251.19
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$154.88
Typical High
$223.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Select Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$363.08
Select Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$162.18

Where Colorado sits

The same service costs 2.7 times more in Ohio than in Florida. 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.

Colorado· 9th of 51

$209

OH $302FL $112

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.