Medicare's screening colonoscopy codes: average risk (G0121) or high risk (G0105). Commercial plans bill 45378 with a screening modifier. What Medicare pays in each setting, in every state, and where it costs less.
Medicare's screening colonoscopy codes: average risk (G0121) or high risk (G0105). Commercial plans bill 45378 with a screening modifier.
Look up the price in your ZIP codeAll services
| State | Surgery center | Hospital outpatient |
|---|---|---|
| Alabama | $597–$633 | $955–$1,036 |
| Alaska | $762 | $1,247 |
| Arizona | $691 | $1,154 |
| Arkansas | $616–$640 | $999–$1,053 |
| California | $785–$887 | $1,361–$1,558 |
| Colorado | $690 | $1,147–$1,158 |
| Connecticut | $758 | $1,288 |
| Delaware | $687–$713 | $1,144–$1,201 |
| District of Columbia | $673–$757 | $1,090–$1,279 |
| Florida | $690–$708 | $1,141–$1,159 |
| Georgia | $613–$681 | $978–$1,129 |
| Hawaii | $742 | $1,264 |
| Idaho | $650–$660 | $1,073–$1,094 |
| Illinois | $700–$715 | $1,166–$1,181 |
| Indiana | $680–$693 | $1,138–$1,168 |
| Iowa | $638–$664 | $1,047–$1,104 |
| Kansas | $622–$633 | $1,009–$1,034 |
| Kentucky | $635–$653 | $1,031–$1,072 |
| Louisiana | $621–$640 | $1,001–$1,037 |
| Maine | $651–$670 | $1,071–$1,110 |
| Maryland | $641–$694 | $1,038–$1,156 |
| Massachusetts | $750–$761 | $1,281–$1,291 |
| Michigan | $663–$675 | $1,090–$1,103 |
| Minnesota | $671–$692 | $1,116–$1,163 |
| Mississippi | $599–$626 | $957–$1,017 |
| Missouri | $661 | $1,090 |
| Montana | $675 | $1,115 |
| Nebraska | $670 | $1,118 |
| Nevada | $687 | $1,144 |
| New Hampshire | $695 | $1,158 |
| New Jersey | $728–$760 | $1,221–$1,285 |
| New Mexico | $661–$680 | $1,085–$1,125 |
| New York | $763–$797 | $1,319–$1,353 |
| North Carolina | $640–$664 | $1,046–$1,099 |
| North Dakota | $667 | $1,107 |
| Ohio | $640–$659 | $1,041–$1,084 |
| Oklahoma | $643 | $1,051–$1,058 |
| Oregon | $709–$751 | $1,194–$1,290 |
| Pennsylvania | $651–$688 | $1,066–$1,147 |
| Rhode Island | $720 | $1,213 |
| South Carolina | $632–$650 | $1,024–$1,066 |
| South Dakota | $666 | $1,106 |
| Tennessee | $617–$648 | $998–$1,067 |
| Texas | $663–$674 | $1,094–$1,105 |
| Utah | $668 | $1,102 |
| Vermont | $656–$671 | $1,081–$1,115 |
| Virginia | $651–$676 | $1,067–$1,122 |
| Washington | $714–$747 | $1,202–$1,258 |
| West Virginia | $650–$681 | $1,057–$1,127 |
| Wisconsin | $643–$675 | $1,057–$1,127 |
| Wyoming | $672 | $1,111 |
Medicare's 2026 national price for screening colonoscopy is $675 at surgery center; $1,115 at hospital outpatient. Prices vary by area; private insurance usually pays more.
Usually at surgery center ($675) rather than hospital outpatient ($1,115), about $440 less for the same service at Medicare's national rates.
As a covered preventive screening, it is usually $0 to the patient with Medicare and most private plans. If it's done for a symptom, or something is found and treated, normal cost-sharing can apply.
These are Medicare's payment rates, a public benchmark for a fair price. What you pay depends on your insurance, deductible and the provider. Ask for a written estimate before you book; if you are uninsured or paying yourself, you are entitled to a Good Faith Estimate.