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Prostate Cancer Risk Blood Score

Kentucky 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?

$589

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $407 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$407$200 to $617
FacilityA hospital or hospital-owned outpatient department$759$617 to $1,122

How much rates vary

Facilitymedian $759 · 10th to 90th $603 to $1,820Professionalmedian $407 · 10th to 90th $200 to $851
$200$500$1K$2Kfacility $759professional $407

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
$602.56
Median
$616.60
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$602.56
Typical High
$912.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$758.58
Typical High
$794.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$302.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$933.25
Typical High
$1,258.93
CareSource
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$954.99
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,122.02
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$1,047.13
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$758.58

Where Kentucky 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.

Kentucky· 46th of 51

$589

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.