go back

Prostate Cancer Risk Blood Score

Wisconsin 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?

$912

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $912 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $2,042 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 11 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$912$363 to $1,738
FacilityA hospital or hospital-owned outpatient department$2,042$912 to $2,239

How much rates vary

Facilitymedian $2,042 · 10th to 90th $813 to $2,951Professionalmedian $912 · 10th to 90th $302 to $2,570
$500$1K$2K$5Kfacility $2,042professional $912

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
$912.01
Median
$2,089.30
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$707.95
Typical High
$1,148.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,041.74
Typical High
$2,089.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$3,162.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,238.72
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$1,202.26
Typical High
$2,398.83
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,511.89
Typical High
$3,801.89
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$5,011.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$2,630.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$2,344.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$58.88
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$912.01
Typical High
$1,174.90
Network Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,202.26
Typical High
$2,137.96
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$2,290.87
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,778.28
Typical High
$2,511.89
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,630.78
Typical High
$3,630.78
Quartz
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$3,801.89
Typical High
$3,801.89
Security Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$1,621.81
Security Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$2,187.76
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$602.56
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$1,148.15

Where Wisconsin 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.

Wisconsin· 7th of 51

$912

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.