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Urine Test For Prostate Cancer Likelihood

Washington 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?

$174

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $219 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$158$155 to $162
FacilityA hospital or hospital-owned outpatient department$219$174 to $398

How much rates vary

Facilitymedian $219 · 10th to 90th $174 to $776Professionalmedian $158 · 10th to 90th $72 to $200
$100$200$500$1Kfacility $219professional $158

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
$398.11
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$478.63
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$154.88
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$371.54
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$190.55
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$275.42
Typical High
$537.03
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$213.80
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$467.74
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$154.88
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$208.93
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
$77.62
Median
$89.13
Typical High
$309.03

Where Washington 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.

Washington· 20th of 51

$174

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.