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Prostate Cancer Risk Blood Score

Virginia 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?

$646

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $794 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$575$339 to $646
FacilityA hospital or hospital-owned outpatient department$794$759 to $1,660

How much rates vary

Facilitymedian $794 · 10th to 90th $646 to $3,467Professionalmedian $575 · 10th to 90th $302 to $1,023
$500$1K$2K$5K$10Kfacility $794professional $575

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
$575.44
Median
$1,584.89
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$645.65
Typical High
$1,445.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$512.86
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$645.65
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,862.09
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$933.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$1,071.52
Medcost
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$831.76
Typical High
$1,288.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,584.89
Sentara
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$794.33
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$794.33
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$758.58

Where Virginia 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.

Virginia· 33rd of 51

$646

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.