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Prostate Cancer Screening, Digital Rectal Exam

Virginia 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?

$15.49

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $15.49 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $12.88 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 8 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$15.85$8.91 to $22.39
FacilityA hospital or hospital-owned outpatient department$12.88$9.55 to $23.99

How much rates vary

Facilitymedian $13 · 10th to 90th $8 to $32Professionalmedian $16 · 10th to 90th $8 to $26
$0.1$1.0$10.0$100.0$1.0Kfacility $13professional $16

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
$9.33
Median
$9.77
Typical High
$26.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$12.02
Typical High
$25.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$9.55
Typical High
$26.30
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$10.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$28.18
Typical High
$40.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$31.62
Typical High
$33.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$18.20
Typical High
$36.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.08
Typical High
$23.99
Sentara
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$10.00
Typical High
$16.22
Sentara
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$23.99
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$14.45
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$16.60
Typical High
$34.67

Where Virginia 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.

Virginia $15.49 · 29th 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.