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Urine Test For Prostate Cancer Likelihood

Connecticut 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?

$115

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $269 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 5 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$115$115 to $120
FacilityA hospital or hospital-owned outpatient department$269$174 to $398

How much rates vary

Facilitymedian $269 · 10th to 90th $174 to $562Professionalmedian $115 · 10th to 90th $93 to $302
$100$200$500$1Kfacility $269professional $115

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
$234.42
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$114.82
Typical High
$134.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$416.87
Typical High
$812.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$302.00
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$416.87
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$162.18
Typical High
$302.00

Where Connecticut 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.

Connecticut· 50th of 51

$115

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.