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Colorectal Cancer Screening Colonoscopy, Not High Risk

Maryland 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?

$528

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

Insurers have agreed to pay about $528 for this procedure. That total is two separate charges: $309 to the doctor who performs it, and $219 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$309$200 to $447
Facility feeThe hospital or surgery center$219$110 to $977

How much rates vary

Facilitymedian $219 · 10th to 90th $49 to $2,239Professionalmedian $309 · 10th to 90th $170 to $933
$20$100$500$2Kfacility $219professional $309

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
$47.86
Median
$208.93
Typical High
$2,290.87
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$47.86
Median
$104.71
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$309.03
Typical High
$977.24
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$35.48
Median
$75.86
Typical High
$181.97
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$524.81
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$93.33
Median
$93.33
Typical High
$173.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$436.52
Typical High
$588.84
Kaiser Permanente
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$257.04
Median
$436.52
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$331.13
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$602.56
United
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$114.82
Median
$204.17
Typical High
$338.84
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$588.84
Wellpoint
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$199.53
Median
$257.04
Typical High
$288.40

Where Maryland 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

Maryland· 51st of 51

$528

$309 physician + $219 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.