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Prostate Cancer Risk Blood Score

Montana 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?

$1,023

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $1,148 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$955$871 to $1,479
FacilityA hospital or hospital-owned outpatient department$1,148$955 to $2,239

How much rates vary

Facilitymedian $1,148 · 10th to 90th $759 to $4,677Professionalmedian $955 · 10th to 90th $316 to $5,012
$500$2K$10K$50Kfacility $1,148professional $955

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
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$5,011.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$4,677.35
Typical High
$87,096.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,288.25
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$1,096.48
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,023.29
Typical High
$2,290.87
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,023.29
Typical High
$2,290.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,479.11
Typical High
$4,365.16
Providence
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$602.56

Where Montana 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.

Montana· 4th of 51

$1,023

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.