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Prostate Cancer Risk Blood Score

Ohio 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?

$646

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $1,023 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 8 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$603$347 to $724
FacilityA hospital or hospital-owned outpatient department$1,023$759 to $1,660

How much rates vary

Facilitymedian $1,023 · 10th to 90th $617 to $1,738Professionalmedian $603 · 10th to 90th $302 to $1,202
$200$500$1K$2Kfacility $1,023professional $603

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
$1,288.25
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$616.60
Typical High
$1,737.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$794.33
Typical High
$1,412.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$371.54
Typical High
$977.24
CareSource
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$870.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,000.00
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$467.74
Typical High
$1,445.44
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,000.00
Typical High
$4,265.80
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$1,445.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$831.76
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$851.14
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$758.58
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$1,047.13

Where Ohio 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.

Ohio· 35th of 51

$646

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.