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Prostate Cancer Risk Blood Score

Nebraska 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?

$759

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $977 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$501$501 to $1,820
FacilityA hospital or hospital-owned outpatient department$977$692 to $1,995

How much rates vary

Facilitymedian $977 · 10th to 90th $457 to $1,995Professionalmedian $501 · 10th to 90th $457 to $5,012
$500$1K$2K$5Kfacility $977professional $501

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
$1,995.26
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$5,011.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$2,238.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,174.90
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,445.44
Typical High
$1,819.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$912.01
Typical High
$3,630.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$1,737.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$724.44
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$457.09
Typical High
$1,778.28

Where Nebraska 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.

Nebraska· 21st of 51

$759

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.