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Prostate Cancer Screening, Digital Rectal Exam

Vermont 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?

$13.18

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $13.18 for this service. Most negotiated rates run $9.33 to $20.89.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10 · 10th to 90th $8 to $23Professionalmedian $13 · 10th to 90th $7 to $26
$10.0$20.0$50.0$100.0facility $10professional $13

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. 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
Global
Typical Low
$10.23
Median
$10.23
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$12.02
Typical High
$22.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$33.88
Typical High
$33.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$52.48
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$26.92
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$18.20
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$21.88
Typical High
$45.71

Where Vermont 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.

Vermont $13.18 · 45th 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.