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Prostate Cancer Risk Blood Score

West 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?

$603

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $603 from a physician practice, and about $955 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 4 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$562 to $646
FacilityA hospital or hospital-owned outpatient department$955$617 to $1,148

How much rates vary

Facilitymedian $955 · 10th to 90th $617 to $1,148Professionalmedian $603 · 10th to 90th $513 to $646
$500$1K$2Kfacility $955professional $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
$616.60
Median
$954.99
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$602.56
Typical High
$645.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,023.29
CareSource
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,122.02
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$3,630.78
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$812.83

Where West 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.

West Virginia· 43rd 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.