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California rates for HCPCS G0121

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Facilitymedian $5,012 · 10th–90th $380$13,4900%10%10th90th$5,012Professionalmedian $251 · 10th–90th $89$8320%10%10th90th$251$10.0$50.0$200.0$1.0K$5.0K$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
$1,513.56 / $5,128.61 / $15,135.61
Aetna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$54.95 / $125.89 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $331.13 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$60.26 / $128.82 / $371.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $173.78 / $245.47
Ambetter
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$85.11 / $107.15 / $123.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $6,165.95 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $416.87 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$91.20 / $165.96 / $269.15
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $1,380.38 / $2,511.89
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $398.11 / $776.25
Blue Shield
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$169.82 / $478.63 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $724.44 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$107.15 / $131.83 / $229.09
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $489.78 / $660.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $371.54 / $707.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$83.18 / $186.21 / $346.74
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $28,840.32
Lucent Health
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,290.87
Lucent Health
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,818.38 / $2,818.38
Lucent Health
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$120.23 / $120.23 / $251.19
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $346.74
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $338.84 / $630.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $812.83
Providence
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$107.15 / $123.03 / $269.15
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,621.81
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $1,096.48
Sutter Health Plus
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$302.00 / $302.00 / $549.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $2,818.38 / $7,585.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $309.03 / $602.56
United
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$100.00 / $181.97 / $295.12