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Urine Test For Prostate Cancer Likelihood

Idaho 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?

$174

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $257 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 8 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$174$162 to $339
FacilityA hospital or hospital-owned outpatient department$257$174 to $437

How much rates vary

Facilitymedian $257 · 10th to 90th $174 to $537Professionalmedian $174 · 10th to 90th $120 to $2,570
$100$200$500$1K$2Kfacility $257professional $174

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
$309.03
Median
$446.68
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$338.84
Typical High
$2,570.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$302.00
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$151.36
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$199.53
Typical High
$251.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$223.87
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$208.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$323.59
Typical High
$616.60
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$147.91
Typical High
$181.97
Select Health
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$223.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$173.78

Where Idaho 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.

Idaho· 19th of 51

$174

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.