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Urine Test For Prostate Cancer Likelihood

Illinois 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?

$229

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $138 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$138$107 to $355
FacilityA hospital or hospital-owned outpatient department$269$182 to $347

How much rates vary

Facilitymedian $269 · 10th to 90th $174 to $363Professionalmedian $138 · 10th to 90th $95 to $355
$50$100$200$500facility $269professional $138

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
$169.82
Median
$269.15
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$177.83
Typical High
$354.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$234.42
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$380.19
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$173.78

Where Illinois 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.

Illinois· 6th of 51

$229

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.