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Urine Test For Prostate Cancer Likelihood

New York 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?

$182

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $302 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 8 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$145$93.33 to $302
FacilityA hospital or hospital-owned outpatient department$302$178 to $407

How much rates vary

Facilitymedian $302 · 10th to 90th $141 to $479Professionalmedian $145 · 10th to 90th $93 to $309
$100$200$500$1Kfacility $302professional $145

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
$309.03
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$831.76
Typical High
$831.76
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$288.40
Typical High
$660.69
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$338.84
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$194.98
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$323.59
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$251.19
Univera
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$177.83
Typical High
$199.53
Univera
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$165.96
Typical High
$199.53

Where New York 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 York· 15th of 51

$182

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.