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HCPCS G0102 Fee Schedule

Medicare rates as of October 2026

HCPCS G0102 is classified under Procedures / Professional Services, in the Screening Examinations and Disease Management Training subgroup.

Prostate cancer screening; digital rectal examination
Key FactDetail
Service Type

Procedures / Professional Services

Screening Examinations and Disease Management Training

Complexity LevelLow
Medicare Fee Schedule$24.38 national non-facility rate (2026) · View Medicare rates for G0102
Medicaid Fee Schedule$19.195 median of the 8 states in the free preview · View Medicaid rates for G0102

National average reimbursement for HCPCS G0102 by major payers:

BCBS / Anthem logo

$27.31

BCBS / Anthem

UnitedHealthcare logo

$27.40

UnitedHealthcare

Aetna logo

$24.14

Aetna

Cigna logo

$25.25

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS G0102.

HCPCS G0102
5 of 25 sample ratesHigher to lower in this preview
  1. Jacob Holloway

    GAGeneral Acute Care HospitalNPI 1831538743Tax ID 27-3818647

    $68.58Published rate
  2. Phoebe Putney Memorial Hospital Inc, Phoebe Putney Memorial Hosptial

    Phoebe Putney Memorial Hospital Inc

    GAGeneral Acute Care HospitalNPI 1992789721Tax ID 58-1928247

    $32.72Published rate
  3. Ty Cobb Healthcare System, Cobb Memorial Hospital

    Community Services Group Inc

    GARural Acute Care HospitalNPI 1083711691Tax ID 58-0633978

    $26.42Published rate
  4. Northeast Georgia Medical Center, Inc.

    Gainesville Radiology Group

    GAGeneral Acute Care HospitalNPI 1427055821Tax ID 58-1177261

    $23.10Published rate
  5. Cindy Chang

    Miguel A Arenas Md PC

    AZFamily Nurse PractitionerNPI 1316561236Tax ID 30-0394179

    $7.00Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS G0102 vs. Other Screening Examinations and Disease Management Training Codes

The table lists codes related to G0102. Select one to see its fee schedule.

CodeComplexityDescription
G0101-HCPCSLowCervical or vaginal cancer screening; pelvic and clinical breast examination
G0102-HCPCSLowProstate cancer screening; digital rectal examination
G0103-HCPCSLowProstate cancer screening; prostate specific antigen test (PSA)

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0102. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the G0102 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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