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Urine Test For Prostate Cancer Likelihood

Texas 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?

$132

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $195 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 9 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$120$105 to $132
FacilityA hospital or hospital-owned outpatient department$195$132 to $324

How much rates vary

Facilitymedian $195 · 10th to 90th $105 to $794Professionalmedian $120 · 10th to 90th $72 to $174
$100$200$500$1Kfacility $195professional $120

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
$104.71
Median
$208.93
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$120.23
Typical High
$165.96
Christus
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$346.74
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$173.78
Typical High
$190.55
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$436.52
Providence
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$162.18
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$173.78
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$173.78
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$173.78
Typical High
$302.00

Where Texas 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.

Texas· 43rd of 51

$132

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.