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Cervical or Vaginal Cancer Screening, Pelvic and Breast Exam

North Carolina 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?

$46.77

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $38.02 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 8 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$47.86$35.48 to $63.10
FacilityA hospital or hospital-owned outpatient department$38.02$30.20 to $48.98

How much rates vary

Facilitymedian $38 · 10th to 90th $26 to $63Professionalmedian $48 · 10th to 90th $27 to $85
$20$50$100facility $38professional $48

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
$38.02
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$37.15
Typical High
$67.61
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$30.20
Median
$50.12
Typical High
$79.43
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$11.75
Median
$15.49
Typical High
$21.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$38.02
Typical High
$70.79
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$33.11
Median
$38.02
Typical High
$41.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$56.23
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$39.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$58.88
Typical High
$58.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$38.02
Typical High
$63.10
Medcost
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$102.33
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$46.77
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$37.15
Typical High
$66.07
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$323.59

Where North Carolina 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.

North Carolina· 4th of 51

$46.77

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.