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Prostate Cancer Risk Blood Score

Missouri 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?

$741

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $1,000 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$646$363 to $871
FacilityA hospital or hospital-owned outpatient department$1,000$759 to $1,318

How much rates vary

Facilitymedian $1,000 · 10th to 90th $676 to $1,778Professionalmedian $646 · 10th to 90th $302 to $1,349
$500$1K$2Kfacility $1,000professional $646

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
$741.31
Median
$1,288.25
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$660.69
Typical High
$1,513.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$371.54
Typical High
$1,288.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$870.96
Typical High
$1,548.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$602.56
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,584.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$371.54
Typical High
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$3,630.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$380.19
Typical High
$1,023.29

Where Missouri 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.

Missouri· 23rd of 51

$741

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.