go back

Urine RNA Test For Prostate Cancer Risk

Illinois rates for HCPCS 0343U

Grades how likely a man is to have prostate cancer, using urine instead of a blood draw or biopsy. A urine sample is tested by RT-PCR for 442 markers of non-protein-making RNA carried in exosomes, the tiny particles cells release, and the pattern is reported as one of four risk grades.

Rates data updated October 2026.

How much does Urine RNA Test For Prostate Cancer Risk cost?

$617

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $1,202 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$617$457 to $759
FacilityA hospital or hospital-owned outpatient department$1,202$912 to $1,995

How much rates vary

Facilitymedian $1,202 · 10th to 90th $794 to $3,162Professionalmedian $617 · 10th to 90th $316 to $1,072
$200$500$1K$2K$5Kfacility $1,202professional $617

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$1,202.26
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$616.60
Median
$616.60
Typical High
$660.69
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$616.60
Median
$616.60
Typical High
$660.69
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$309.03
Median
$309.03
Typical High
$323.59
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$125.89
Median
$125.89
Typical High
$131.83
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,023.29
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$1,819.70
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$891.25
Median
$933.25
Typical High
$1,122.02
Hally Health
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$1,071.52
Typical High
$1,513.56
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$316.23
Median
$457.09
Typical High
$758.58

Where Illinois sits

The same service costs 12.0 times more in Texas than in New Mexico. 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.

Illinois· 29th of 51

$617

TX $3,802NM $316

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.