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Prostate Cancer Screening, PSA Test

Illinois rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Rates data updated July 2026.

How much does Prostate Cancer Screening, PSA Test cost?

$64.57

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $19.50 from a physician practice, and about $91.20 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$19.50$15.14 to $23.99
FacilityA hospital or hospital-owned outpatient department$91.20$51.29 to $186

How much rates vary

Facilitymedian $91 · 10th to 90th $30 to $302Professionalmedian $19 · 10th to 90th $13 to $51
$5.0$20.0$100.0$500.0facility $91professional $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
$30.20
Median
$91.20
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$21.38
Typical High
$51.29
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$22.91
Typical High
$25.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$52.48
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$14.79
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$42.66
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$15.85
Typical High
$28.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$35.48
Typical High
$138.04
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$19.50
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$14.13
Typical High
$19.50

Where Illinois sits

The same service costs 9.1 times more in West Virginia than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $64.57 · 4th of 51
WV $132DC $14.45

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.