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Colorectal Cancer Screening Colonoscopy, Not High Risk

Maine 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?

$1,924

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

Insurers have agreed to pay about $1,924 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $1,585 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$339$209 to $490
Facility feeThe hospital or surgery center$1,585$1,479 to $2,291

How much rates vary

Facilitymedian $1,585 · 10th to 90th $891 to $2,951Professionalmedian $339 · 10th to 90th $182 to $776
$100$200$500$1K$2K$5Kfacility $1,585professional $339

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
$891.25
Median
$1,584.89
Typical High
$2,951.21
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$87.10
Median
$87.10
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$234.42
Typical High
$436.52
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$34.67
Median
$74.13
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$380.19
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$91.20
Median
$173.78
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$457.09
Typical High
$954.99
Harvard Pilgrim
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$131.83
Median
$131.83
Typical High
$257.04
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,995.26
Typical High
$3,388.44
Martin's Point
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$87.10
Median
$87.10
Typical High
$288.40
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$309.03
Typical High
$524.81
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$40.74
Median
$93.33
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$407.38
Typical High
$776.25
United
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$102.33
Median
$239.88
Typical High
$338.84

Where Maine 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

Maine· 34th of 51

$1,924

$339 physician + $1,585 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.