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Illinois rates for HCPCS G0102

Prostate cancer screening; digital rectal examination

Facilitymedian $41 · 10th–90th $8–$410%50%10th$41Professionalmedian $19 · 10th–90th $8–$380%10%20%10th90th$19$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $7.94 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $14.13 / $25.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $19.95 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.39 / $23.99
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $26.92 / $50.12
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.72 / $30.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $21.38 / $42.66