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Prostate Cancer Screening, Digital Rectal Exam

Kentucky 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?

$15.14

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $15.14 for this service. The price depends on where it is billed: about $14.79 from a physician practice, and about $19.95 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$14.79$8.71 to $20.42
FacilityA hospital or hospital-owned outpatient department$19.95$8.91 to $20.89

How much rates vary

Facilitymedian $20 · 10th to 90th $9 to $23Professionalmedian $15 · 10th to 90th $8 to $23
$10.0$20.0$50.0$100.0facility $20professional $15

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
$8.32
Median
$8.91
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$13.18
Typical High
$23.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$18.62
Typical High
$20.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$22.39
Typical High
$117.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$16.98
Typical High
$29.51

Where Kentucky 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.

Kentucky $15.14 · 33rd 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.