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Colorectal Cancer Screening Colonoscopy, Not High Risk

Illinois 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?

$3,552

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

Insurers have agreed to pay about $3,552 for this procedure. That total is two separate charges: $316 to the doctor who performs it, and $3,236 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$200 to $447
Facility feeThe hospital or surgery center$3,236$1,230 to $4,677

How much rates vary

Facilitymedian $3,236 · 10th to 90th $347 to $5,888Professionalmedian $316 · 10th to 90th $178 to $851
$1$10$100$1K$10Kfacility $3,236professional $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
$346.74
Median
$3,311.31
Typical High
$5,888.44
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$95.50
Median
$131.83
Typical High
$173.78
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$69.18
Median
$134.90
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$316.23
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$35.48
Median
$83.18
Typical High
$181.97
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$186.21
Typical High
$323.59
Ambetter
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$81.28
Median
$81.28
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,348.96
Typical High
$3,090.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$323.59
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
$323.59
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
$1,445.44
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
$457.09
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
$194.98
Median
$346.74
Typical High
$645.65
United
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$83.18
Median
$123.03
Typical High
$257.04

Where Illinois 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

Illinois· 9th of 51

$3,552

$316 physician + $3,236 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.