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Urine Test For Prostate Cancer Likelihood

Indiana 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 Indiana, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $148 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$148$141 to $302
FacilityA hospital or hospital-owned outpatient department$269$174 to $380

How much rates vary

Facilitymedian $269 · 10th to 90th $174 to $525Professionalmedian $148 · 10th to 90th $105 to $407
$100$200$500$1Kfacility $269professional $148

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
$269.15
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$141.25
Typical High
$173.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$302.00
Typical High
$524.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$302.00
Typical High
$457.09
CareSource
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$2,511.89
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$288.40
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$213.80
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$190.55

Where Indiana 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.

Indiana· 24th 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.