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Prostate Cancer Risk Blood Score

Michigan 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?

$724

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $724 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 6 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$575 to $724
FacilityA hospital or hospital-owned outpatient department$724$724 to $912

How much rates vary

Facilitymedian $724 · 10th to 90th $692 to $1,318Professionalmedian $617 · 10th to 90th $331 to $871
$500$1Kfacility $724professional $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
$724.44
Median
$724.44
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$724.44
Typical High
$912.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$870.96
Typical High
$1,513.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$398.11
Typical High
$1,148.15
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$724.44
Typical High
$1,412.54
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$691.83
Typical High
$912.01
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$602.56

Where Michigan 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.

Michigan· 26th of 51

$724

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.