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New York rates for HCPCS G0121

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

Facilitymedian $2,951 · 10th–90th $138$7,9430%5%10%10th90th$2,951Professionalmedian $257 · 10th–90th $95$6920%10%10th90th$257$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$234.42 / $3,548.13 / $9,120.11
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $6,760.83
Aetna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$69.18 / $120.23 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $316.23 / $851.14
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$64.57 / $128.82 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $186.21 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$81.28 / $87.10 / $181.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $309.03 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$77.62 / $162.18 / $331.13
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $263.03 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $245.47 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $1,412.54 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Cigna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $758.58
Cigna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$213.80 / $229.09 / $446.68
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $263.03 / $630.96
Emblem Health
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$89.13 / $144.54 / $338.84
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $575.44 / $851.14
Emblem Health
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$218.78 / $288.40 / $416.87
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Excellus BCBS
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $741.31 / $1,023.29
Excellus BCBS
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$128.82 / $524.81 / $707.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,778.28 / $3,630.78
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $190.55 / $446.68
Highmark BCBS
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$93.33 / $93.33 / $218.78
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $436.52 / $758.58
MVP Health Care
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$194.98 / $229.09 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,884.03 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $512.86 / $1,659.59
United
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$114.82 / $234.42 / $346.74
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $194.98 / $194.98
Univera
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$74.13 / $97.72 / $97.72
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $537.03 / $933.25
Univera
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$97.72 / $295.12 / $645.65