go back

Prostate Cancer Risk Blood Score

Oregon 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 Oregon, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $832 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$759$708 to $1,096
FacilityA hospital or hospital-owned outpatient department$832$759 to $1,413

How much rates vary

Facilitymedian $832 · 10th to 90th $759 to $1,905Professionalmedian $759 · 10th to 90th $562 to $1,479
$500$1K$2K$5Kfacility $832professional $759

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
$977.24
Median
$1,412.54
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$741.31
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,584.89
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$831.76
Typical High
$1,202.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,659.59
Typical High
$1,995.26
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$758.58
Typical High
$1,047.13
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,071.52
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,513.56
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$912.01
Providence
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,047.13
Typical High
$2,187.76
Providence
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$831.76
Typical High
$1,096.48
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,238.72
Typical High
$2,951.21
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$645.65
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$912.01

Where Oregon 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.

Oregon· 19th 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.