go back

South Dakota rates for HCPCS G0121

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

Facilitymedian $2,630 · 10th–90th $363$3,7150%10%20%10th90th$2,630Professionalmedian $309 · 10th–90th $91$1,1220%5%10th90th$309$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$1,513.56 / $2,630.27 / $3,715.35
Aetna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$87.10 / $91.20 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $398.11 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$58.88 / $125.89 / $263.03
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $302.00 / $467.74
Cigna
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$107.15 / $147.91 / $263.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $380.19 / $812.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $537.03 / $2,187.76
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $416.87 / $501.19
Midlands
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$134.90 / $208.93 / $251.19
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $676.08
Midlands
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$104.71 / $104.71 / $338.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $467.74 / $660.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $398.11 / $776.25
United
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$85.11 / $85.11 / $204.17
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $426.58 / $794.33