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Prostate Cancer Risk Blood Score

Maryland 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?

$575

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $575 for this service. Most negotiated rates run $457 to $646.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $316 · 10th to 90th $316 to $575Professionalmedian $575 · 10th to 90th $331 to $871
$500$1K$2K$5Kfacility $316professional $575

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$831.76
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$1,258.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$338.84
Typical High
$602.56
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$602.56
Typical High
$602.56

Where Maryland 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.

Maryland· 47th of 51

$575

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.