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Colorectal Cancer Screening Colonoscopy, Not High Risk

New Jersey 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?

$5,812

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $5,812 for this procedure. That total is two separate charges: $316 to the doctor who performs it, and $5,495 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$316$209 to $407
Facility feeThe hospital or surgery center$5,495$3,715 to $6,761

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,738 to $9,333Professionalmedian $316 · 10th to 90th $166 to $676
$200$500$1K$2K$5K$10Kfacility $5,495professional $316

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
$1,737.80
Median
$5,623.41
Typical High
$9,332.54
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$102.33
Median
$186.21
Typical High
$776.25
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$40.74
Median
$75.86
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$309.03
Typical High
$758.58
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$36.31
Median
$75.86
Typical High
$173.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$169.82
Typical High
$363.08
Ambetter
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$81.28
Median
$87.10
Typical High
$181.97
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$194.98
Typical High
$346.74
AmeriHealth
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$74.13
Median
$74.13
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$41.69
Median
$131.83
Typical High
$245.47
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$537.03
Typical High
$933.25
Emblem Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$199.53
Median
$269.15
Typical High
$389.05
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,090.30
Typical High
$4,786.30
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$323.59
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$3,467.37
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$316.23
Typical High
$645.65
United
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$104.71
Median
$208.93
Typical High
$331.13

Where New Jersey 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

New Jersey· 1st of 51

$5,812

$316 physician + $5,495 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.