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Urine Test For Prostate Cancer Likelihood

Florida 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?

$112

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $324 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 6 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$112$105 to $120
FacilityA hospital or hospital-owned outpatient department$324$174 to $501

How much rates vary

Facilitymedian $324 · 10th to 90th $126 to $933Professionalmedian $112 · 10th to 90th $105 to $129
$100$200$500$1Kfacility $324professional $112

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
$125.89
Median
$416.87
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$112.20
Typical High
$125.89
AvMed
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
AvMed
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$173.78
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$128.82
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$263.03
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$154.88
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$173.78
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$173.78

Where Florida 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.

Florida· 51st of 51

$112

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.