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Prostate Cancer Risk Blood Score

Arizona 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?

$617

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $1,175 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 5 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$513$501 to $617
FacilityA hospital or hospital-owned outpatient department$1,175$891 to $2,884

How much rates vary

Facilitymedian $1,175 · 10th to 90th $589 to $3,311Professionalmedian $513 · 10th to 90th $316 to $871
$500$1K$2K$5Kfacility $1,175professional $513

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
$891.25
Median
$1,174.90
Typical High
$3,311.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$512.86
Typical High
$870.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$2,187.76
Typical High
$3,981.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$758.58
Typical High
$5,128.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$741.31
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$691.83
Typical High
$831.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$758.58
Typical High
$1,318.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$758.58
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$602.56

Where Arizona 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.

Arizona· 41st of 51

$617

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.