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Colorectal Cancer Screening Colonoscopy, Not High Risk

West 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?

$2,440

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

Insurers have agreed to pay about $2,440 for this procedure. That total is two separate charges: $302 to the doctor who performs it, and $2,138 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$302$186 to $372
Facility feeThe hospital or surgery center$2,138$891 to $4,467

How much rates vary

Facilitymedian $2,138 · 10th to 90th $245 to $5,012Professionalmedian $302 · 10th to 90th $174 to $398
$50$100$200$500$1K$2K$5Kfacility $2,138professional $302

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
$316.23
Median
$2,187.76
Typical High
$5,370.32
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$57.54
Median
$87.10
Typical High
$158.49
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$34.67
Median
$87.10
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$302.00
Typical High
$398.11
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$34.67
Median
$74.13
Typical High
$158.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$169.82
Typical High
$234.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$208.93
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$1,819.70
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$3,162.28
Typical High
$4,897.79
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$245.47
Typical High
$346.74
Highmark BCBS
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$2,570.40
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$302.00
Typical High
$588.84
United
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$204.17
Median
$204.17
Typical High
$204.17

Where West 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

West Virginia· 24th of 51

$2,440

$302 physician + $2,138 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.