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Prostate Cancer Risk Blood Score

Alabama rates for HCPCS 81539

A blood test that measures several prostate-related proteins and combines them through a formula into a single score estimating the chance that aggressive prostate cancer is present. It is used when a raised routine prostate blood result has been found, to help decide whether a biopsy is warranted. It gives a probability rather than a yes-or-no answer.

Rates data updated July 2026.

How much does Prostate Cancer Risk Blood Score cost?

$646

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $759 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$589$457 to $871
FacilityA hospital or hospital-owned outpatient department$759$631 to $871

How much rates vary

Facilitymedian $759 · 10th to 90th $537 to $1,148Professionalmedian $589 · 10th to 90th $363 to $871
$500$1Kfacility $759professional $589

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
$758.58
Median
$870.96
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$588.84
Typical High
$870.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$660.69
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$371.54
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$645.65
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$338.84
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$691.83
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$602.56

Where Alabama sits

The same service costs 3.8 times more in Alaska than in Rhode Island. 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.

Alabama· 34th of 51

$646

AK $1,698RI $447

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.