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Prostate Cancer Risk Blood Score

Idaho 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?

$776

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $776 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$776$708 to $912
FacilityA hospital or hospital-owned outpatient department$1,148$759 to $1,698

How much rates vary

Facilitymedian $1,148 · 10th to 90th $759 to $2,239Professionalmedian $776 · 10th to 90th $537 to $1,479
$500$1K$2Kfacility $1,148professional $776

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
$1,380.38
Median
$1,995.26
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$870.96
Typical High
$1,479.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,412.54
Typical High
$2,754.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$776.25
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,584.89
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$562.34
Typical High
$1,258.93
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,096.48
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$776.25
Typical High
$954.99
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,513.56
Typical High
$2,754.23
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$794.33
Select Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$977.24
Select Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$724.44

Where Idaho 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.

Idaho· 14th of 51

$776

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.