go back

Prostate Cancer Risk Blood Score

New Mexico 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?

$912

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $912 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $2,455 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$724$575 to $912
FacilityA hospital or hospital-owned outpatient department$2,455$1,148 to $4,677

How much rates vary

Facilitymedian $2,455 · 10th to 90th $575 to $6,457Professionalmedian $724 · 10th to 90th $263 to $5,012
$500$1K$2K$5K$10K$20K$50Kfacility $2,455professional $724

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
$1,148.15
Median
$2,290.87
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$912.01
Typical High
$5,011.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$4,073.80
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$676.08
Typical High
$870.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$758.58
Typical High
$1,288.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$831.76
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$691.83
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$478.63

Where New Mexico 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 Mexico· 8th of 51

$912

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.