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Prostate Cancer Screening, Digital Rectal Exam

Massachusetts 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?

$18.62

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $18.62 from a physician practice, and about $10.47 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 9 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$18.62$9.77 to $27.54
FacilityA hospital or hospital-owned outpatient department$10.47$8.51 to $18.62

How much rates vary

Facilitymedian $10 · 10th to 90th $8 to $23Professionalmedian $19 · 10th to 90th $8 to $51
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $10professional $19

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
$7.94
Median
$7.94
Typical High
$18.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$14.13
Typical High
$26.92
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$79.43
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$22.39
Typical High
$69.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$22.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$10.00
Typical High
$18.62
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.11
Typical High
$48.98
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$23.99
Typical High
$60.26
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$79.43
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$22.39
Typical High
$69.18
Tufts
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.79
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$22.91
Typical High
$60.26

Where Massachusetts 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.

Massachusetts $18.62 · 13th 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.