A urine specimen collection device that aids in positioning a standard urine specimen cup in a urine flow path to avoid inadvertent contact between the users hands and the urine being collected. A standard specimen collection cup is insertable through an aperture disposed in a cup holder portion of the device. The aperture is preferably expandable from a first size to a larger second size when a specimen cup is inserted and is preferably configured to support the cup in a position where around 50% or more of the height of the cup is disposed on an underside of the cup holder body. The cup holder end of the device may bend at an angle between about 120° and 170° relative to a handle end of the device when a specimen cup is inserted through the aperture. Optional handle extensions may be used to further elongate the device.