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Prostate Cancer Risk Blood Score

North Dakota 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?

$1,148

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $1,148 for this service. Most negotiated rates run $708 to $1,549.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $537 · 10th to 90th $537 to $1,380Professionalmedian $1,288 · 10th to 90th $537 to $1,738
$500$1K$2Kfacility $537professional $1,288

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
$537.03
Median
$537.03
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,445.44
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,096.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$549.54
Typical High
$1,380.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$707.95
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$707.95
Typical High
$1,174.90

Where North Dakota 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.

North Dakota· 2nd of 51

$1,148

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.