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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 July 2026.

How much does Prostate Cancer Risk Blood Score cost?

$676

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $2,884 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 6 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$537 to $676
FacilityA hospital or hospital-owned outpatient department$2,884$871 to $2,884

How much rates vary

Facilitymedian $2,884 · 10th to 90th $537 to $3,802Professionalmedian $603 · 10th to 90th $316 to $832
$500$1K$2Kfacility $2,884professional $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
$537.03
Median
$2,884.03
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$794.33
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$724.44
Typical High
$1,380.38
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$3,090.30
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$691.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$676.08
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$602.56

Where Utah 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.

Utah· 30th of 51

$676

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.