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Urine Test For Prostate Cancer Likelihood

West Virginia 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?

$141

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $138 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 4 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$138$129 to $141
FacilityA hospital or hospital-owned outpatient department$219$141 to $257

How much rates vary

Facilitymedian $219 · 10th to 90th $141 to $257Professionalmedian $138 · 10th to 90th $78 to $148
$100$200$500facility $219professional $138

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
$218.78
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$138.04
Typical High
$147.91
CareSource
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$251.19
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$831.76
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$77.62
Typical High
$173.78

Where West Virginia 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.

West Virginia· 38th of 51

$141

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.