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Cervical or Vaginal Cancer Screening, Pelvic and Breast Exam

West Virginia 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?

$34.67

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $34.67 for this service. The price depends on where it is billed: about $34.67 from a physician practice, and about $38.90 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 5 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$34.67$26.30 to $45.71
FacilityA hospital or hospital-owned outpatient department$38.90$33.88 to $138

How much rates vary

Facilitymedian $39 · 10th to 90th $26 to $138Professionalmedian $35 · 10th to 90th $23 to $60
$20$50$100$200facility $39professional $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
$26.30
Median
$38.90
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$34.67
Typical High
$60.26
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
$14.79
Typical High
$20.42
CareSource
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$28.18
Typical High
$34.67
CareSource
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$38.02
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
$37.15
Median
$37.15
Typical High
$190.55
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$33.88
Typical High
$38.02
Highmark BCBS
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$34.67
Typical High
$56.23

Where West Virginia 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.

West Virginia· 37th of 51

$34.67

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.