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Colorectal Cancer Screening Colonoscopy, Not High Risk

Montana 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?

$754

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

Insurers have agreed to pay about $754 for this procedure. That total is two separate charges: $275 to the doctor who performs it, and $479 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$275$191 to $427
Facility feeThe hospital or surgery center$479$316 to $631

How much rates vary

Facilitymedian $479 · 10th to 90th $251 to $2,399Professionalmedian $275 · 10th to 90th $174 to $741
$200$1K$5K$20Kfacility $479professional $275

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
$2,041.74
Median
$2,398.83
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$269.15
Typical High
$741.31
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.90
Median
$95.50
Typical High
$213.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$478.63
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$302.00
Typical High
$537.03
Cigna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$144.54
Median
$144.54
Typical High
$269.15
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$537.03
Typical High
$630.96
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$537.03
Typical High
$630.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$371.54
Typical High
$707.95
Providence
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$457.09
Typical High
$870.96
Providence
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$144.54
Median
$144.54
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$426.58
Typical High
$660.69
United
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$60.26
Median
$125.89
Typical High
$134.90

Where Montana 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

Montana· 49th of 51

$754

$275 physician + $479 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.