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Prostate Cancer Risk Blood Score

Kansas 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?

$759

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $1,318 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$724$575 to $955
FacilityA hospital or hospital-owned outpatient department$1,318$813 to $1,660

How much rates vary

Facilitymedian $1,318 · 10th to 90th $661 to $1,778Professionalmedian $724 · 10th to 90th $372 to $955
$500$1K$2K$5Kfacility $1,318professional $724

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
$794.33
Median
$1,318.26
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$812.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,380.38
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$758.58
Typical High
$1,047.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$380.19
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$457.09
Typical High
$1,023.29

Where Kansas 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.

Kansas· 16th of 51

$759

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.