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Colorectal Cancer Screening Colonoscopy, Not High Risk

Vermont 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?

$331

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $331 for this service. Most negotiated rates run $209 to $457.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,692 · 10th to 90th $2,692 to $2,754Professionalmedian $331 · 10th to 90th $186 to $1,096
$200$500$1K$2Kfacility $2,692professional $331

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$302.00
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$37.15
Median
$72.44
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$1,230.27
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$389.05
Typical High
$851.14
MVP Health Care
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$138.04
Median
$169.82
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$407.38
Typical High
$741.31
United
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$50.12
Median
$125.89
Typical High
$346.74

Where Vermont sits

The same service costs 3.0 times more in South Dakota than in Hawaii. 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.

Vermont· 25th of 51

$331

SD $813HI $275

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.