go back

Prostate Cancer Risk Blood Score

Illinois 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?

$617

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $1,202 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$589$398 to $692
FacilityA hospital or hospital-owned outpatient department$1,202$776 to $1,549

How much rates vary

Facilitymedian $1,202 · 10th to 90th $646 to $2,089Professionalmedian $589 · 10th to 90th $3 to $1,072
$10$100$1K$10Kfacility $1,202professional $589

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
$616.60
Median
$1,202.26
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$616.60
Typical High
$1,412.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$2,691.53
Typical High
$9,549.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$524.81
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,778.28
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$831.76
Typical High
$1,174.90
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$933.25
Typical High
$1,380.38
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$758.58
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$363.08
Typical High
$758.58

Where Illinois 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.

Illinois· 40th of 51

$617

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.