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Maine rates for HCPCS G0121

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

Facilitymedian $1,862 · 10th–90th $288$3,0200%20%10th90th$1,862Professionalmedian $219 · 10th–90th $87$6460%10%10th90th$219$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,995.26 / $3,019.95
Aetna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$87.10 / $87.10 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $331.13 / $707.95
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$60.26 / $128.82 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $380.19 / $630.96
Anthem BCBS
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$91.20 / $165.96 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $457.09 / $954.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$131.83 / $131.83 / $257.04
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $309.03
Martin's Point
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$87.10 / $87.10 / $288.40
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $331.13 / $707.95
Martin's Point
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$72.44 / $151.36 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $398.11 / $794.33
United
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$125.89 / $245.47 / $346.74