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Prostate Cancer Screening, Digital Rectal Exam

Ohio 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 Ohio, 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 $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 7 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$8.91 to $22.39
FacilityA hospital or hospital-owned outpatient department$19.95$11.48 to $27.54

How much rates vary

Facilitymedian $20 · 10th to 90th $8 to $28Professionalmedian $19 · 10th to 90th $8 to $27
$0.1$1.0$10.0$100.0$1.0Kfacility $20professional $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
$8.32
Median
$21.38
Typical High
$27.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$12.88
Typical High
$24.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$20.42
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$933.25
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$19.50
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$18.20
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$17.38
Typical High
$35.48

Where Ohio 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.

Ohio $18.62 · 15th 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.