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Colorectal Cancer Screening Colonoscopy, Not High Risk

Virginia 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?

$1,092

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

Insurers have agreed to pay about $1,092 for this procedure. That total is two separate charges: $316 to the doctor who performs it, and $776 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$316$209 to $398
Facility feeThe hospital or surgery center$776$282 to $2,754

How much rates vary

Facilitymedian $776 · 10th to 90th $195 to $4,571Professionalmedian $316 · 10th to 90th $174 to $575
$200$500$1K$2K$5K$10Kfacility $776professional $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
$363.08
Median
$2,290.87
Typical High
$6,918.31
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$97.72
Median
$107.15
Typical High
$107.15
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$72.44
Median
$131.83
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$309.03
Typical High
$549.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$37.15
Median
$75.86
Typical High
$169.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$338.84
Typical High
$562.34
Anthem BCBS
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$83.18
Median
$165.96
Typical High
$323.59
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,511.89
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$501.19
Typical High
$851.14
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
$89.13
Typical High
$107.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$457.09
Typical High
$741.31
Kaiser Permanente
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$363.08
Median
$457.09
Typical High
$741.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$562.34
Typical High
$602.56
Medcost
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$154.88
Median
$181.97
Typical High
$194.98
Medcost
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$331.13
Typical High
$602.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$870.96
Medcost
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Sentara
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$234.42
Typical High
$524.81
Sentara
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$426.58
Typical High
$912.01
Sentara
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$134.90
Median
$199.53
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$1,737.80
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$316.23
Typical High
$588.84
United
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$107.15
Median
$251.19
Typical High
$338.84

Where Virginia 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

Virginia· 42nd of 51

$1,092

$316 physician + $776 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.