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Colorectal Cancer Screening Colonoscopy, Not High Risk

Massachusetts 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?

$2,031

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

Insurers have agreed to pay about $2,031 for this procedure. That total is two separate charges: $372 to the doctor who performs it, and $1,660 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 10 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$372$234 to $589
Facility feeThe hospital or surgery center$1,660$347 to $2,818

How much rates vary

Facilitymedian $1,660 · 10th to 90th $240 to $3,631Professionalmedian $372 · 10th to 90th $182 to $933
$200$500$1K$2K$5Kfacility $1,660professional $372

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
$870.96
Median
$2,137.96
Typical High
$3,715.35
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$93.33
Median
$177.83
Typical High
$177.83
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$37.15
Median
$72.44
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$302.00
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$37.15
Median
$81.28
Typical High
$239.88
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,949.84
Typical High
$28,840.32
AllWays Health Partners
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
AllWays Health Partners
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$239.88
Median
$263.03
Typical High
$575.44
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$416.87
Typical High
$1,071.52
AllWays Health Partners
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$89.13
Median
$204.17
Typical High
$457.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$478.63
Typical High
$741.31
BCBS
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$93.33
Median
$138.04
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$870.96
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$812.83
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$1,949.84
Typical High
$7,079.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$426.58
Typical High
$933.25
Health New England
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,659.59
Typical High
$4,570.88
Health New England
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$549.54
Typical High
$602.56
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,949.84
Typical High
$28,840.32
Mass General Brigham
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Mass General Brigham
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$239.88
Median
$263.03
Typical High
$575.44
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$416.87
Typical High
$1,071.52
Mass General Brigham
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$89.13
Median
$204.17
Typical High
$457.09
Tufts
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$645.65
Tufts
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,949.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$436.52
Typical High
$1,000.00
United
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$114.82
Median
$229.09
Typical High
$338.84

Where Massachusetts 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

Massachusetts· 32nd of 51

$2,031

$372 physician + $1,660 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.