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Prostate Cancer Screening, Digital Rectal Exam

Illinois rates for HCPCS G0102

Prostate cancer screening; digital rectal examination

Rates data updated October 2026.

How much does Prostate Cancer Screening, Digital Rectal Exam cost?

$19.95

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $64.57 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$19.95$9.55 to $26.92
FacilityA hospital or hospital-owned outpatient department$64.57$45.71 to $117

How much rates vary

Facilitymedian $65 · 10th to 90th $23 to $178Professionalmedian $20 · 10th to 90th $9 to $41
$10$20$50$100$200facility $65professional $20

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$7.76
Median
$8.71
Typical High
$22.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$14.45
Typical High
$22.91
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.32
Median
$1.78
Typical High
$3.47
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.87
Median
$1.20
Typical High
$2.29
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$72.44
Typical High
$190.55
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$20.89
Typical High
$40.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Hally Health
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$21.38
Typical High
$44.67
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$10.72
Typical High
$30.20
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
United
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$18.62
Typical High
$37.15

Where Illinois sits

The same service costs 3.8 times more in Alaska than in Washington, DC. 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.

Illinois· 27th of 51

$19.95

AK $35.48DC $9.33

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.