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Colorectal Cancer Screening Colonoscopy, Not High Risk

Delaware rates for HCPCS G0121

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

Rates data updated July 2026.

How much does Colorectal Cancer Screening Colonoscopy, Not High Risk cost?

$677

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

Insurers have agreed to pay about $677 for this procedure. That total is two separate charges: $288 to the doctor who performs it, and $389 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$288$186 to $372
Facility feeThe hospital or surgery center$389$186 to $2,818

How much rates vary

Facilitymedian $389 · 10th to 90th $170 to $3,020Professionalmedian $288 · 10th to 90th $178 to $468
$100$200$500$1K$2K$5Kfacility $389professional $288

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
$169.82
Median
$389.05
Typical High
$3,019.95
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$85.11
Median
$93.33
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$446.68
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.02
Median
$83.18
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,778.28
Typical High
$2,137.96
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$338.84
Highmark BCBS
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$138.04
Median
$165.96
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$436.52
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$309.03
Typical High
$537.03
United
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$100.00
Median
$199.53
Typical High
$331.13

Where Delaware sits

The same service costs 11.0 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

Delaware· 50th of 51

$677

$288 physician + $389 facility

NJ $5,812MD $528

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.