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Urine Test For Prostate Cancer Likelihood

Ohio 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?

$302

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $245 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$302$138 to $372
FacilityA hospital or hospital-owned outpatient department$245$174 to $380

How much rates vary

Facilitymedian $245 · 10th to 90th $155 to $417Professionalmedian $302 · 10th to 90th $120 to $437
$100$200$500$1Kfacility $245professional $302

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
$162.18
Median
$309.03
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$416.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$467.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
CareSource
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$2,691.53
Typical High
$4,786.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$213.80
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$199.53
Typical High
$831.76
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$954.99
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$302.00
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$181.97
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$173.78
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$186.21

Where Ohio 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.

Ohio· 1st of 51

$302

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.