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Prostate Tissue Test After A Negative Biopsy

Connecticut rates for HCPCS 81551

Re-examines stored tissue from an earlier prostate biopsy that did not show cancer, reading chemical tags that switch genes on and off. The result is reported as an estimate of how likely it is that cancer was present nearby but simply missed by the needle, which helps decide whether another biopsy is worthwhile.

Rates data updated July 2026.

How much does Prostate Tissue Test After A Negative Biopsy cost?

$2,042

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $2,042 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $3,162 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 5 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$1,349$1,318 to $2,570
FacilityA hospital or hospital-owned outpatient department$3,162$2,042 to $4,266

How much rates vary

Facilitymedian $3,162 · 10th to 90th $1,738 to $5,623Professionalmedian $1,349 · 10th to 90th $1,023 to $4,571
$200$500$1K$2K$5K$10Kfacility $3,162professional $1,349

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
$2,041.74
Median
$2,884.03
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,348.96
Typical High
$4,570.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$3,162.28
Typical High
$5,495.41
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$851.14
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,365.16
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$2,454.71
Typical High
$4,265.80
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,137.96
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,698.24
Typical High
$3,548.13

Where Connecticut sits

The same service costs 3.5 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.

Connecticut· 18th of 51

$2,042

AK $4,571RI $1,318

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.