go back

New York rates for HCPCS G0105

Colorectal cancer screening; colonoscopy on individual at high risk

Facilitymedian $2,754 · 10th–90th $138$7,7620%10%10th90th$2,754Professionalmedian $251 · 10th–90th $98$6760%20%10th90th$251$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $3,162.28 / $8,511.38
Aetna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$70.79 / $128.82 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $302.00 / $776.25
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$64.57 / $125.89 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $173.78 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $331.13 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$75.86 / $158.49 / $309.03
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $263.03 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $245.47 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $1,412.54 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Cigna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $870.96
Cigna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$194.98 / $363.08 / $776.25
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $263.03 / $630.96
Emblem Health
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$87.10 / $144.54 / $338.84
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $575.44 / $851.14
Emblem Health
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$218.78 / $288.40 / $407.38
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Excellus BCBS
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $812.83 / $1,023.29
Excellus BCBS
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$128.82 / $588.84 / $707.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,778.28 / $3,630.78
Highmark BCBS
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $436.52
Highmark BCBS
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$93.33 / $93.33 / $177.83
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $436.52 / $891.25
MVP Health Care
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$190.55 / $234.42 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,884.03 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $512.86 / $1,659.59
United
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$112.20 / $239.88 / $346.74
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $194.98 / $194.98
Univera
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$74.13 / $97.72 / $97.72
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $478.63 / $933.25
Univera
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$97.72 / $295.12 / $645.65