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Prostate Cancer Screening, Digital Rectal Exam

Illinois rates for HCPCS G0102

Prostate cancer screening; digital rectal examination

Rates data updated July 2026.

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

$16.60

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $16.60 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $22.91 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 6 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$16.60$8.91 to $26.30
FacilityA hospital or hospital-owned outpatient department$22.91$7.76 to $41.69

How much rates vary

Facilitymedian $23 · 10th to 90th $8 to $62Professionalmedian $17 · 10th to 90th $8 to $41
$0.1$1.0$10.0$100.0$1.0Kfacility $23professional $17

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
$7.76
Median
$8.71
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$13.18
Typical High
$23.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$44.67
Typical High
$72.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$19.95
Typical High
$40.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$22.39
Typical High
$23.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$26.92
Typical High
$50.12
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.72
Typical High
$30.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$22.91
Typical High
$46.77

Where Illinois sits

The same service costs 2.1 times more in Minnesota than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $16.60 · 20th of 51
MN $25.70WV $12.02

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.