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Prostate Cancer Screening, PSA Test

Virginia 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?

$25.12

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $16.60 from a physician practice, and about $58.88 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$16.60$14.45 to $21.38
FacilityA hospital or hospital-owned outpatient department$58.88$26.92 to $110

How much rates vary

Facilitymedian $59 · 10th to 90th $19 to $200Professionalmedian $17 · 10th to 90th $9 to $47
$10$100$1K$10Kfacility $59professional $17

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
$26.92
Median
$79.43
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$16.98
Typical High
$46.77
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$77.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$14.79
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$93.33
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$47.86
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$27.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$22.91
Typical High
$28.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$52.48
Typical High
$57.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$28.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$40.74
Sentara
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$25.70
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$25.70
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$19.50
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$11.22
Typical High
$19.50

Where Virginia sits

The same service costs 9.1 times more in West Virginia than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 27th of 51

$25.12

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.