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Prostate Cancer Risk Blood Score

Iowa 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?

$741

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $1,148 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$661$589 to $1,380
FacilityA hospital or hospital-owned outpatient department$1,148$759 to $1,995

How much rates vary

Facilitymedian $1,148 · 10th to 90th $589 to $2,188Professionalmedian $661 · 10th to 90th $457 to $5,012
$500$1K$2K$5Kfacility $1,148professional $661

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
$588.84
Median
$1,584.89
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,445.44
Typical High
$1,819.70
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$741.31
Typical High
$1,318.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$2,137.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$912.01
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,000.00
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$457.09
Typical High
$1,778.28
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58

Where Iowa 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.

Iowa· 24th of 51

$741

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.