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North Carolina rates for HCPCS 81539

Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 [hK2]), utilizing plasma or serum, prognostic algorithm reported as a probability score

Facilitymedian $724 · 10th–90th $603–$2,5120%10%20%10th90th$724Professionalmedian $617 · 10th–90th $398–$1,0000%20%10th90th$617$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $676.08 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $602.56 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,819.70 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $758.58 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,659.59 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $354.81 / $1,023.29
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $691.83 / $1,174.90
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $758.58 / $891.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $457.09 / $776.25
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $3,630.78
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $5,754.40