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Prostate Cancer Screening, Digital Rectal Exam

North Carolina 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?

$21.88

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $19.05 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$22.39$11.48 to $31.62
FacilityA hospital or hospital-owned outpatient department$19.05$10.00 to $26.30

How much rates vary

Facilitymedian $19 · 10th to 90th $9 to $35Professionalmedian $22 · 10th to 90th $9 to $48
$1.0$10.0$100.0facility $19professional $22

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
$8.71
Median
$13.49
Typical High
$34.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$13.49
Typical High
$24.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$22.39
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$22.39
Typical High
$22.39
Medcost
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$33.11
Typical High
$33.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$18.62
Typical High
$33.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$57.54
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$17.38
Typical High
$31.62
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$194.98

Where North Carolina 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.

North Carolina $21.88 · 3rd 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.