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Prostate Cancer Risk Blood Score

South Carolina 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?

$603

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $1,862 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$589$589 to $617
FacilityA hospital or hospital-owned outpatient department$1,862$692 to $2,570

How much rates vary

Facilitymedian $1,862 · 10th to 90th $589 to $3,236Professionalmedian $589 · 10th to 90th $389 to $794
$500$1K$2Kfacility $1,862professional $589

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
$588.84
Median
$1,862.09
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$5,011.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$812.83
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,290.87
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$831.76
Medcost
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$691.83
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$380.19
Typical High
$758.58

Where South Carolina 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.

South Carolina· 42nd of 51

$603

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.