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Prostate Cancer Risk Blood Score

Rhode Island 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?

$447

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $447 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 4 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$447$417 to $575
FacilityA hospital or hospital-owned outpatient department$977$871 to $2,754

How much rates vary

Facilitymedian $977 · 10th to 90th $603 to $4,365Professionalmedian $447 · 10th to 90th $417 to $692
$500$1K$2Kfacility $977professional $447

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,754.23
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$870.96
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,862.09
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$338.84
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$912.01
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$870.96

Where Rhode Island 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.

Rhode Island· 51st of 51

$447

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.