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Prostate Cancer Screening, PSA Test

Vermont rates for HCPCS G0103

Prostate cancer screening; prostate specific antigen test (PSA)

Rates data updated July 2026.

Facilitymedian $78 · 10th–90th $7$2820%10%20%10th90th$78Professionalmedian $19 · 10th–90th $13$320%10%20%10th90th$19$10.0$20.0$50.0$100.0$200.0

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$251.19
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.50
Typical High
$32.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$70.79
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$23.99
Typical High
$50.12