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Urine Test For Prostate Cancer Likelihood

Kentucky 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?

$200

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $219 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$200$158 to $200
FacilityA hospital or hospital-owned outpatient department$219$141 to $417

How much rates vary

Facilitymedian $219 · 10th to 90th $141 to $417Professionalmedian $200 · 10th to 90th $129 to $302
$100$500$2K$10K$50Kfacility $219professional $200

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
$141.25
Median
$218.78
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$158.49
Typical High
$234.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$199.53
Typical High
$302.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$3,090.30
Typical High
$46,773.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$234.42
Typical High
$3,235.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$251.19
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$831.76
Typical High
$831.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$173.78

Where Kentucky 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.

Kentucky· 12th of 51

$200

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.