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Prostate Cancer Risk Blood Score

Florida 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 Florida, July 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $1,413 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$537$389 to $617
FacilityA hospital or hospital-owned outpatient department$1,413$692 to $2,188

How much rates vary

Facilitymedian $1,413 · 10th to 90th $550 to $3,090Professionalmedian $537 · 10th to 90th $331 to $851
$10$50$200$1K$5Kfacility $1,413professional $537

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
$575.44
Median
$1,412.54
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$758.58
AvMed
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$758.58
Typical High
$891.25
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$524.81
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$489.78
Typical High
$1,258.93
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$524.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$537.03
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$1,000.00
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$758.58

Where Florida 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.

Florida· 49th 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.