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Urine Test For Prostate Cancer Likelihood

New Jersey 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?

$148

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $129 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 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$129$105 to $148
FacilityA hospital or hospital-owned outpatient department$257$224 to $813

How much rates vary

Facilitymedian $257 · 10th to 90th $170 to $1,738Professionalmedian $129 · 10th to 90th $91 to $229
$100$500$2K$10Kfacility $257professional $129

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
$223.87
Median
$229.09
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$138.04
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$380.19
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$208.93
Typical High
$263.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$102.33
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$9,772.37
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$173.78
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$173.78

Where New Jersey 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.

New Jersey· 34th of 51

$148

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.