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Urine Test For Prostate Cancer Likelihood

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $331 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$141$135 to $148
FacilityA hospital or hospital-owned outpatient department$331$209 to $437

How much rates vary

Facilitymedian $331 · 10th to 90th $148 to $617Professionalmedian $141 · 10th to 90th $105 to $166
$100$200$500$1Kfacility $331professional $141

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
$147.91
Median
$331.13
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$162.18
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$234.42
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$251.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$251.19
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$302.00
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$363.08
Typical High
$616.60
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$512.86
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$426.58
Typical High
$426.58
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$104.71
Typical High
$257.04

Where Pennsylvania 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.

Pennsylvania· 35th 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.