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Illinois rates for HCPCS 81539

Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 [hK2]), utilizing plasma or serum, prognostic algorithm reported as a probability score

Facilitymedian $1,318 · 10th–90th $759–$2,2910%20%10th90th$1,318Professionalmedian $617 · 10th–90th $3–$9550%20%10th90th$617$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,318.26 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $645.65 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $2,691.53 / $9,549.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $524.81 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,778.28 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $812.83 / $1,174.90
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $933.25 / $1,380.38
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $1,513.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $363.08 / $758.58