HCPCS code G0102: Prostate screening, digital rectal examination2026 Medicare rate & RVUs in Montana

Report G0102 for a prostate cancer screening digital rectal examination, in which a clinician palpates the prostate through the rectum.

CMS RVU26DEffective Oct 1, 2026One payment locality7.3K Medicare services in 2024

In Montana, Medicare pays $24.38 for G0102 in the office and $7.68 when it’s performed in a hospital or facility.

$24.38Office (non-facility)
$7.68Hospital or facility
+0.0%vs the national office rate ($24.38)

Check a contract rate as a % of Medicare · G0102 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open G0102 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What G0102 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What G0102 covers

G0102 represents a screening examination in which a clinician inserts a gloved, lubricated finger into the rectum to assess the prostate by palpation. Primary care clinicians and urologists commonly perform it during an outpatient visit. The exam can assess features such as prostate size, contour, and palpable irregularities; the code identifies the screening service, not a laboratory test or evaluation of urinary symptoms.

Select G0102 when the documented purpose is prostate cancer screening and the digital examination was performed. The note should establish screening intent and record the examination and relevant findings. Do not use this code for a PSA blood test; G0103 identifies screening PSA testing. CMS physician fee schedule values for G0102 include work and practice expense, with practice expense values that differ by setting.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Montana compares for G0102

Across 109 of 109 payment localities, the office rate for G0102 runs from $21.68 in Arkansas to $32.86 in San Benito County, CA. Montana pays $24.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0102 in Montana vs other payment areas
  1. Montana · this page$24.38
  2. Los Angeles, CA · California$27.82+$3.44
  3. Washington, DC area · District of Columbia$27.96+$3.58
  4. Miami, FL · Florida$25.63+$1.25
  5. Chicago, IL · Illinois$24.95+$0.57
  6. Manhattan, NY · New York$27.89+$3.51
  7. Alaska · Alaska$28.41+$4.03

Other areas in Montana first, then benchmark localities. Bars start at $0.

Every other payment area

G0102 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$21.98$7.37
ArkansasArkansas$21.68$7.33
ArizonaArizona$23.78$7.59
Bakersfield, CACalifornia$26.10$7.79
Chico, CACalifornia$26.06$7.76
El Centro, CACalifornia$26.06$7.76
Fresno, CACalifornia$26.06$7.76
Hanford, CACalifornia$26.06$7.76

G0102 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$21.68

$29.46

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
G0102 office rate range by state
State / territoryOffice rate rangeLocalities
AK$28.411
AL$21.981
AR$21.681
AZ$23.781
CA$26.06–$32.8629
CO$25.541
CT$25.961
DC$27.961
DE$24.161
FL$23.76–$25.633
GA$22.50–$24.762
GU$26.711
HI$26.711
IA$22.651
ID$22.761
IL$23.00–$25.174
IN$22.891
KS$22.491
KY$22.351
LA$22.29–$23.362
MA$25.37–$28.092
MD$24.63–$27.963
ME$22.81–$24.102
MI$22.86–$23.982
MN$24.671
MO$21.88–$23.523
MS$21.791
MT$24.381
NC$23.051
ND$24.181
NE$22.791
NH$25.081
NJ$26.31–$27.672
NM$22.951
NV$24.341
NY$23.38–$28.465
OH$22.821
OK$22.381
OR$24.21–$26.402
PA$22.89–$25.292
PR$24.581
RI$25.061
SC$22.961
SD$24.161
TN$22.591
TX$22.74–$25.408
UT$23.271
VA$23.98–$27.962
VI$24.581
VT$24.041
WA$25.34–$28.722
WI$23.391
WV$22.161
WY$24.301

See G0102 in every payment locality

How the G0102 rate is calculated

Each of G0102’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · G0102

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.18

0.18 RVUs× 1.000 GPCI

Practice expense0.54

0.54 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.7300

Conversion factor

$33.4009

Medicare rate

$24.38

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

15,084

Code
G0102
Physician work
0.18
Practice expense
0.54
Malpractice
0.01

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Office calculation for G0102 in Montana
ComponentRVULocality factorAdjusted
Physician work0.18× 1.0000.1800
Practice expense0.54× 1.0000.5400
Malpractice0.01× 0.9980.0100
Total RVUs0.7300
Conversion factor× 33.4009

Office rate, Montana$24.38

Office: (0.18 × 1 + 0.54 × 1 + 0.01 × 0.998) × $33.4009 = $24.38

Facility: (0.18 × 1 + 0.04 × 1 + 0.01 × 0.998) × $33.4009 = $7.68

Open G0102 in the RVU calculator

Payment rules and modifiers for G0102

G0102 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · G0102

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$24.38

Non-facility (office)
$24.38
Facility
$7.68

Higher because the practice carries its own overhead.

How G0102 has changed in Montana

G0102 · Office / nonfacility

$24.38

Effective 2026-10-01

The base rate is $1.74 higher than on 2025-10-01, moving from $22.64 to $24.38 (7.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $22.64changed to$24.38

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.51 changed to 0.54
    • Malpractice GPCI 0.978 changed to 0.998

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $23.29changed to$22.64

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $22.91changed to$23.29

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $23.37changed to$22.91

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.50 changed to 0.51
  5. January 1, 2023

    RVU23A

    $23.52changed to$23.37

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.49 changed to 0.50
    • Malpractice GPCI 0.977 changed to 0.978

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $23.02changed to$23.52

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.47 changed to 0.49

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $23.21changed to$23.02

    • Conversion factor 36.0896 changed to 34.8931
    • Work RVU 0.17 changed to 0.18
    • Practice expense RVU 0.46 changed to 0.47
    • Malpractice GPCI 1.304 changed to 0.977

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $22.93changed to$23.21

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.45 changed to 0.46
    • Malpractice GPCI 1.631 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $21.83changed to$22.93

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.42 changed to 0.45

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $20.25changed to$21.83

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.38 changed to 0.42
    • Malpractice GPCI 1.429 changed to 1.631

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $19.77changed to$20.25

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.37 changed to 0.38
    • Malpractice GPCI 1.226 changed to 1.429

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $19.84changed to$19.77

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $19.75changed to$19.84

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $19.76changed to$19.75

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice GPCI 1.165 changed to 1.226

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $20.11changed to$19.76

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.41 changed to 0.37
    • Malpractice GPCI 1.103 changed to 1.165

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $20.11

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$24.38$7.68RVU26D
2026-07-01$24.38$7.68RVU26C
2026-04-01$24.38$7.68RVU26B
2026-01-01$24.38$7.68RVU26A
2025-10-01$22.64$8.40RVU25D
2025-07-01$22.64$8.40RVU25C
2025-04-01$22.64$8.40RVU25B
2025-01-01$22.64$8.40RVU25A
2024-10-01$23.29$8.65RVU24D
2024-07-01$23.29$8.65RVU24C
2024-04-01$23.29$8.65RVU24B
2024-03-09$23.29$8.65RVU24AR
2024-01-01$22.91$8.51RVU24A
2023-10-01$23.37$8.80RVU23D
2023-07-01$23.37$8.80RVU23C
2023-04-01$23.37$8.80RVU23B
2023-01-01$23.37$8.80RVU23A
2022-10-01$23.52$8.99RVU22D
2022-07-01$23.52$8.99RVU22C
2022-04-01$23.52$8.99RVU22B
2022-01-01$23.52$8.99RVU22A
2021-10-01$23.02$9.06RVU21D
2021-07-01$23.02$9.06RVU21C
2021-04-01$23.02$9.06RVU21B
2021-01-01$23.02$9.06RVU21A
2020-10-01$23.21$9.13RVU20D
2020-07-01$23.21$9.13RVU20C
2020-04-01$23.21$9.13RVU20B
2020-01-01$23.21$9.13RVU20A
2019-10-01$22.93$9.24RVU19D
2019-07-01$22.93$9.24RVU19C
2019-04-01$22.93$9.24RVU19B
2019-01-01$22.93$9.24RVU19A
2018-10-01$21.83$9.23RVU18D
2018-07-01$21.83$9.23RVU18C
2018-04-01$21.83$9.23RVU18B
2018-01-01$21.83$9.23RVU18AR1
2017-10-01$20.25$9.13RVU17D
2017-07-01$20.25$9.13RVU17C
2017-04-01$20.25$9.13RVU17B
2017-01-01$20.25$9.13RVU17A
2016-10-01$19.77$9.03RVU16D
2016-07-01$19.77$9.03RVU16C
2016-04-01$19.77$9.03RVU16B
2016-01-01$19.77$9.03RVU16A
2015-10-01$19.84$9.06RVU15D
2015-07-01$19.84$9.06RVU15C
2015-04-01$19.75$9.02RVU15B
2015-01-01$19.75$9.02RVU15A
2014-10-01$19.76$9.01RVU14D
2014-07-01$19.76$9.01RVU14C
2014-04-01$19.76$9.01RVU14B
2014-01-01$19.76$9.01RVU14A
2013-10-01$20.11$8.54RVU13D
2013-07-01$20.11$8.54RVU13C
2013-04-01$20.11$8.54RVU13B
2013-01-01$20.11$8.54RVU13AR

Price G0102 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

G0102 billing questions

When should G0102 be used instead of G0103?

G0102 identifies the digital rectal examination; G0103 identifies a screening prostate-specific antigen blood test. Report the service actually performed and documented.

Does G0102 include the PSA blood test?

No. G0102 is for the screening digital examination, not blood collection or PSA analysis.

What documentation supports G0102?

Document that the examination was performed for screening, describe the digital prostate examination, and record relevant findings.

Can G0102 be reported with G0103?

The codes identify different screening services: a digital examination and a PSA test. Report both only when both services were performed and documented.

Is G0102 selected by examination time or number of areas examined?

No time or area-count level is identified for this code. It represents the screening digital examination of the prostate.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for G0102PPRRVU2026_Oct_nonQPP.csv, line 15,084 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what G0102 pays in Montana?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put G0102 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist