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Cervical or Vaginal Cancer Screening, Pelvic and Breast Exam

Kentucky 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?

$36.31

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $35.48 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$36.31$27.54 to $40.74
FacilityA hospital or hospital-owned outpatient department$35.48$27.54 to $46.77

How much rates vary

Facilitymedian $35 · 10th to 90th $25 to $115Professionalmedian $36 · 10th to 90th $24 to $62
$20$50$100facility $35professional $36

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
$46.77
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$34.67
Typical High
$63.10
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$48.98
Median
$48.98
Typical High
$50.12
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$11.22
Median
$14.79
Typical High
$20.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$34.67
Typical High
$46.77
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$37.15
Typical High
$39.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$28.18
Typical High
$38.02
CareSource
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$38.90
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$37.15
Typical High
$190.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$40.74
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$36.31
Typical High
$66.07

Where Kentucky 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.

Kentucky· 27th of 51

$36.31

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.