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Prostate Cancer Risk Blood Score

Colorado 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?

$794

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $1,862 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 7 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$575$363 to $617
FacilityA hospital or hospital-owned outpatient department$1,862$1,000 to $3,162

How much rates vary

Facilitymedian $1,862 · 10th to 90th $589 to $3,802Professionalmedian $575 · 10th to 90th $316 to $813
$500$1K$2K$5Kfacility $1,862professional $575

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
$478.63
Median
$1,659.59
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$575.44
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,290.87
Typical High
$3,801.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$316.23
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$489.78
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$389.05
Typical High
$1,096.48
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$758.58
Typical High
$1,148.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,071.52
Select Health
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,412.54
Typical High
$1,584.89
Select Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$562.34

Where Colorado 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.

Colorado· 13th of 51

$794

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.