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Colorectal Cancer Screening Colonoscopy, Not High Risk

Tennessee 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?

$1,858

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

Insurers have agreed to pay about $1,858 for this procedure. That total is two separate charges: $309 to the doctor who performs it, and $1,549 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$309$195 to $417
Facility feeThe hospital or surgery center$1,549$871 to $2,399

How much rates vary

Facilitymedian $1,549 · 10th to 90th $398 to $3,715Professionalmedian $309 · 10th to 90th $170 to $794
$100$200$500$1K$2K$5K$10Kfacility $1,549professional $309

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
$354.81
Median
$1,513.56
Typical High
$3,715.35
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$95.50
Median
$154.88
Typical High
$288.40
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$60.26
Median
$114.82
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$302.00
Typical High
$794.33
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$35.48
Median
$72.44
Typical High
$169.82
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$288.40
Ambetter
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$77.62
Median
$125.89
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,089.30
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$380.19
Typical High
$676.08
BCBS
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$97.72
Median
$181.97
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$64.57
Median
$138.04
Typical High
$245.47
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$28,840.32
Typical High
$28,840.32
Lucent Health
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Lucent Health
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,818.38
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,318.26
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$323.59
Typical High
$602.56
United
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$66.07
Median
$107.15
Typical High
$141.25

Where Tennessee 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

Tennessee· 35th of 51

$1,858

$309 physician + $1,549 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.