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Illinois rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Facilitymedian $91 · 10th–90th $30–$2340%5%10%10th90th$91Professionalmedian $19 · 10th–90th $14–$680%10%10th90th$19$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $91.20 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.50 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.88 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $51.29 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $14.79 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $42.66 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $15.85 / $28.18
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $35.48 / $138.04
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $20.42 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $12.59 / $19.50