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Prostate Cancer Risk Blood Score

Connecticut 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?

$759

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $1,096 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$501$398 to $977
FacilityA hospital or hospital-owned outpatient department$1,096$759 to $1,585

How much rates vary

Facilitymedian $1,096 · 10th to 90th $724 to $2,138Professionalmedian $501 · 10th to 90th $316 to $1,349
$500$1K$2K$5Kfacility $1,096professional $501

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
$1,096.48
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$501.19
Typical High
$1,348.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,202.26
Typical High
$2,041.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$602.56
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,202.26
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$724.44
Typical High
$1,412.54
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$812.83
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$602.56
Typical High
$1,318.26

Where Connecticut 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.

Connecticut· 20th of 51

$759

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.