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Colorectal Cancer Screening Colonoscopy, Not High Risk

South Dakota 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?

$3,267

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $3,267 for this procedure. That total is two separate charges: $575 to the doctor who performs it, and $2,692 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$575$302 to $933
Facility feeThe hospital or surgery center$2,692$2,138 to $3,090

How much rates vary

Facilitymedian $2,692 · 10th to 90th $1,514 to $3,715Professionalmedian $575 · 10th to 90th $170 to $1,413
$5$20$100$500$2Kfacility $2,692professional $575

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
$1,819.70
Median
$2,691.53
Typical High
$3,715.35
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$93.33
Median
$93.33
Typical High
$165.96
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$37.15
Median
$66.07
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$776.25
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$38.02
Median
$93.33
Typical High
$281.84
Avera
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$371.54
Typical High
$467.74
Cigna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$107.15
Median
$147.91
Typical High
$263.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$380.19
Typical High
$812.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$537.03
Typical High
$2,187.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$416.87
Typical High
$501.19
Midlands
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$134.90
Median
$208.93
Typical High
$251.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$676.08
Midlands
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$104.71
Median
$104.71
Typical High
$338.84
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$467.74
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$407.38
Typical High
$794.33
United
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$100.00
Median
$100.00
Typical High
$204.17
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$416.87
Typical High
$977.24

Where South Dakota 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

South Dakota· 13th of 51

$3,267

$575 physician + $2,692 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.