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Prostate Cancer Risk Blood Score

Washington, DC 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?

$575

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $575 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$575$562 to $575
FacilityA hospital or hospital-owned outpatient department$575$575 to $912

How much rates vary

Facilitymedian $575 · 10th to 90th $575 to $1,288Professionalmedian $575 · 10th to 90th $550 to $589
$500$1K$2Kfacility $575professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$575.44
Typical High
$588.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,288.25
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$776.25
Typical High
$3,467.37
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,318.26
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$912.01
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$707.95

Where Washington, DC 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.

Washington, DC· 48th of 51

$575

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.