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Prostate Cancer Risk Blood Score

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $1,514 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 8 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$759$490 to $759
FacilityA hospital or hospital-owned outpatient department$1,514$912 to $2,089

How much rates vary

Facilitymedian $1,514 · 10th to 90th $562 to $2,399Professionalmedian $759 · 10th to 90th $398 to $1,862
$500$1K$2K$5Kfacility $1,514professional $759

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
$416.87
Median
$1,318.26
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$2,290.87
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$870.96
Typical High
$2,398.83
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$758.58
Typical High
$2,511.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,513.56
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$812.83
Typical High
$1,513.56
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,096.48
Typical High
$1,288.25
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,258.93
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$870.96
Typical High
$2,398.83
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$758.58
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$724.44
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$758.58
Typical High
$1,513.56

Where Massachusetts 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.

Massachusetts· 18th 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.