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Prostate Cancer Screening, Digital Rectal Exam

New Jersey rates for HCPCS G0102

Prostate cancer screening; digital rectal examination

Rates data updated October 2026.

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

$19.05

Typical physician fee. In New Jersey, October 2026.

Insurers have agreed to pay about $19.05 for this service. Most negotiated rates run $8.32 to $22.39.

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.

How much rates vary

Facilitymedian $9 · 10th to 90th $8 to $21Professionalmedian $19 · 10th to 90th $7 to $26
$10$20$50facility $9professional $19

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$9.33
Typical High
$21.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$12.02
Typical High
$21.38
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.26
Median
$1.78
Typical High
$3.24
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.83
Median
$1.20
Typical High
$2.14
AmeriHealth
Setting
Professional
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$45.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$36.31
Typical High
$41.69
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$22.39
Median
$25.70
Typical High
$28.18
United
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$15.49
Typical High
$25.12

Where New Jersey sits

The same service costs 3.8 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 33rd of 51

$19.05

AK $35.48DC $9.33

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.