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Prostate Cancer Risk Blood Score

Utah 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 October 2026.

How much does Prostate Cancer Risk Blood Score cost?

$646

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $871 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$537$457 to $708
FacilityA hospital or hospital-owned outpatient department$871$537 to $2,884

How much rates vary

Facilitymedian $871 · 10th to 90th $537 to $3,802Professionalmedian $537 · 10th to 90th $263 to $832
$500$1K$2Kfacility $871professional $537

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$2,884.03
Typical High
$3,801.89
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$269.15
Median
$1,445.44
Typical High
$1,905.46
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$107.15
Median
$588.84
Typical High
$758.58
Aetna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$831.76
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$741.31
Typical High
$1,380.38
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$870.96
Typical High
$3,090.30
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$758.58
Select Health
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$831.76
Typical High
$1,148.15
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$457.09
Typical High
$457.09

Where Utah sits

The same service costs 4.3 times more in Texas than in Oklahoma. 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.

Utah· 26th of 51

$646

TX $1,905OK $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.