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Colorectal Cancer Screening Colonoscopy, High Risk

Illinois rates for HCPCS G0105

Colorectal cancer screening; colonoscopy on individual at high risk

Rates data updated July 2026.

How much does Colorectal Cancer Screening Colonoscopy, High Risk cost?

$3,336

Typical total for the visit. In Illinois, July 2026.

Insurers have agreed to pay about $3,336 for this procedure. That total is two separate charges: $316 to the doctor who performs it, and $3,020 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$316$195 to $437
Facility feeThe hospital or surgery center$3,020$1,380 to $4,677

How much rates vary

Facilitymedian $3,020 · 10th to 90th $417 to $5,623Professionalmedian $316 · 10th to 90th $174 to $832
$100$200$500$1K$2K$5K$10Kfacility $3,020professional $316

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
$416.87
Median
$3,162.28
Typical High
$5,888.44
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$95.50
Median
$173.78
Typical High
$3,090.30
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$38.02
Median
$131.83
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$309.03
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$34.67
Median
$79.43
Typical High
$181.97
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$263.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,348.96
Typical High
$3,090.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$354.81
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$831.76
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$331.13
Cigna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$89.13
Median
$194.98
Typical High
$363.08
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$407.38
Typical High
$1,584.89
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
$213.80
Median
$229.09
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,698.24
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$338.84
Typical High
$616.60
United
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$83.18
Median
$123.03
Typical High
$288.40

Where Illinois sits

The same service costs 9.5 times more in New Jersey than in Maryland. 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.

Physician feeFacility fee

Illinois· 10th of 51

$3,336

$316 physician + $3,020 facility

NJ $5,932MD $626

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.