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Cervical or Vaginal Cancer Screening, Pelvic and Breast Exam

New Jersey 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?

$35.48

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $43.65 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$35.48$29.51 to $43.65
FacilityA hospital or hospital-owned outpatient department$43.65$34.67 to $295

How much rates vary

Facilitymedian $44 · 10th to 90th $35 to $9,120Professionalmedian $35 · 10th to 90th $23 to $59
$100$1K$10Kfacility $44professional $35

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
$29.51
Median
$34.67
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$34.67
Typical High
$57.54
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$36.31
Median
$36.31
Typical High
$50.12
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$10.96
Median
$15.14
Typical High
$21.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$34.67
Typical High
$44.67
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$467.74
Typical High
$467.74
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$81.28
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$213.80
Typical High
$13,489.63
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$38.90
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$39.81
Typical High
$79.43

Where New Jersey 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.

New Jersey· 36th of 51

$35.48

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.