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Prostate Cancer Risk Blood Score

Indiana 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 Indiana, July 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $759 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$617$302 to $617
FacilityA hospital or hospital-owned outpatient department$759$759 to $1,514

How much rates vary

Facilitymedian $759 · 10th to 90th $759 to $2,291Professionalmedian $617 · 10th to 90th $2 to $692
$10$100$1K$10Kfacility $759professional $617

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
$831.76
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$616.60
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$2,290.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.57
Typical High
$302.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$549.54
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$371.54
Typical High
$912.01

Where Indiana 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.

Indiana· 39th 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.