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Cervical or Vaginal Cancer Screening, Pelvic and Breast Exam

Illinois rates for HCPCS G0101

Cervical or vaginal cancer screening; pelvic and clinical breast examination

Rates data updated July 2026.

How much does Cervical or Vaginal Cancer Screening, Pelvic and Breast Exam cost?

$39.81

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $39.81 from a physician practice, and about $47.86 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 7 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$39.81$30.20 to $51.29
FacilityA hospital or hospital-owned outpatient department$47.86$38.90 to $155

How much rates vary

Facilitymedian $48 · 10th to 90th $28 to $191Professionalmedian $40 · 10th to 90th $26 to $71
$20$50$100$200facility $48professional $40

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
$25.12
Median
$40.74
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$36.31
Typical High
$60.26
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$36.31
Median
$50.12
Typical High
$128.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$11.22
Median
$15.14
Typical High
$20.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$37.15
Typical High
$46.77
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$177.83
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$45.71
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$43.65
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$47.86
Typical High
$125.89
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$33.88
Typical High
$52.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$151.36
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$51.29
Typical High
$79.43

Where Illinois sits

The same service costs 1.9 times more in Minnesota than in Mississippi. 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.

Illinois· 14th of 51

$39.81

MN $58.88MS $30.90

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.