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Urine Test For Prostate Cancer Likelihood

North Carolina 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?

$138

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $138 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$138$126 to $138
FacilityA hospital or hospital-owned outpatient department$138$138 to $234

How much rates vary

Facilitymedian $138 · 10th to 90th $89 to $813Professionalmedian $138 · 10th to 90th $105 to $138
$100$200$500facility $138professional $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
$138.04
Median
$138.04
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$549.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$154.88
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$457.09
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$208.93
Typical High
$263.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$128.82
Typical High
$181.97
Medcost
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$87.10
Typical High
$173.78
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83

Where North Carolina 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.

North Carolina· 40th of 51

$138

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.