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Prostate Cancer Risk Blood Score

New Jersey 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?

$631

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $1,259 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 5 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$513$398 to $631
FacilityA hospital or hospital-owned outpatient department$1,259$794 to $3,548

How much rates vary

Facilitymedian $1,259 · 10th to 90th $617 to $6,026Professionalmedian $513 · 10th to 90th $331 to $871
$200$500$1K$2K$5K$10K$20Kfacility $1,259professional $513

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
$616.60
Median
$1,000.00
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$562.34
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,659.59
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$575.44
Typical High
$1,230.27
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$794.33
Typical High
$1,230.27
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$9,772.37
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$758.58
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$758.58

Where New Jersey 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.

New Jersey· 37th of 51

$631

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.