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Prostate Cancer Risk Blood Score

Hawaii 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?

$891

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $891 for this service. Most negotiated rates run $759 to $955.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $759 · 10th to 90th $631 to $912Professionalmedian $955 · 10th to 90th $676 to $1,318
$500$1Kfacility $759professional $955

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
$630.96
Median
$758.58
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$912.01
HMSA
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$851.14
Typical High
$954.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$912.01
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$602.56
Typical High
$912.01
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,122.02
Typical High
$1,698.24

Where Hawaii 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.

Hawaii· 9th of 51

$891

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.