Cost analysis for CPT G0121 — Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
Average Medicare Payment
$227.55
2023 data
Total Payments (2023)
$69.4M
Services (2023)
248.6K
Price Change (2014–2023)
-2.5%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $233.29 | $83.8M | 327.9K | — |
| 2015 | $225.45 | $82.8M | 331.1K | -3.4% |
| 2016 | $228.47 | $91.5M | 336.6K | +1.3% |
| 2017 | $210.83 | $77.8M | 325.3K | -7.7% |
| 2018 | $213.07 | $73.9M | 303.9K | +1.1% |
| 2019 | $218.82 | $68.4M | 272.1K | +2.7% |
| 2020 | $230.34 | $40.9M | 156.5K | +5.3% |
| 2021 | $225.11 | $55.9M | 213.2K | -2.3% |
| 2022 | $221.45 | $59.2M | 227.5K | -1.6% |
| 2023 | $227.55 | $69.4M | 248.6K | +2.8% |
The most expensive state pays 1.8x more than the cheapest for this procedure. NY averages $341.19 vs WV at $185.80.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NY | $341.19 | $3.2M | 9.4K | 283 |
| CA | $339.86 | $9.0M | 26.4K | 708 |
| NJ | $327.83 | $3.3M | 10.0K | 286 |
| AK | $319.83 | $273.5K | 855 | 27 |
| HI | $314.72 | $116.8K | 371 | 15 |
| GU | $312.23 | $48.1K | 154 | 5 |
| RI | $311.57 | $167.9K | 539 | 20 |
| CT | $303.59 | $548.0K | 1.8K | 68 |
| NV | $299.60 | $650.4K | 2.2K | 56 |
| MD | $295.64 | $2.6M | 8.9K | 217 |
| OR | $295.37 | $655.4K | 2.2K | 73 |
| CO | $294.96 | $1.4M | 4.6K | 148 |
| WA | $292.74 | $1.1M | 3.9K | 143 |
| WY | $288.86 | $264.3K | 915 | 24 |
| AZ | $287.67 | $2.0M | 6.8K | 177 |
| FL | $284.30 | $6.3M | 22.3K | 635 |
| NC | $281.50 | $2.1M | 7.6K | 263 |
| DE | $279.59 | $471.1K | 1.7K | 42 |
| PA | $274.55 | $3.1M | 11.3K | 381 |
| GA | $273.42 | $2.1M | 7.5K | 258 |
| TX | $272.28 | $5.4M | 19.7K | 606 |
| MN | $271.47 | $475.1K | 1.8K | 72 |
| NE | $264.54 | $518.5K | 2.0K | 66 |
| MA | $262.14 | $1.5M | 5.8K | 177 |
| MI | $260.94 | $1.7M | 6.7K | 234 |
| IL | $257.33 | $1.7M | 6.8K | 250 |
| NM | $256.78 | $320.5K | 1.2K | 36 |
| SC | $255.56 | $1.5M | 6.0K | 156 |
| LA | $255.23 | $1.1M | 4.4K | 136 |
| VI | $253.56 | $37.0K | 146 | 4 |
| UT | $252.17 | $617.6K | 2.4K | 65 |
| TN | $251.72 | $1.6M | 6.2K | 181 |
| VA | $251.04 | $1.3M | 5.3K | 186 |
| OH | $251.00 | $2.2M | 8.7K | 308 |
| KS | $250.02 | $974.3K | 3.9K | 110 |
| MS | $249.09 | $955.5K | 3.8K | 89 |
| MO | $247.62 | $1.2M | 4.9K | 162 |
| IA | $247.02 | $640.5K | 2.6K | 82 |
| IN | $243.78 | $1.2M | 4.7K | 181 |
| ME | $242.24 | $90.1K | 372 | 17 |
| NH | $239.94 | $309.5K | 1.3K | 50 |
| ID | $239.66 | $333.6K | 1.4K | 57 |
| AL | $235.66 | $510.4K | 2.2K | 88 |
| AR | $228.90 | $647.1K | 2.8K | 89 |
| OK | $227.86 | $910.1K | 4.0K | 109 |
| MT | $227.63 | $277.9K | 1.2K | 34 |
| WI | $226.67 | $653.9K | 2.9K | 123 |
| DC | $226.27 | $97.3K | 430 | 20 |
| KY | $224.45 | $663.3K | 3.0K | 133 |
| VT | $220.56 | $103.4K | 469 | 15 |
| SD | $215.28 | $190.1K | 883 | 33 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Digestivecare, Llc | Ambulatory Surgical Center | TN | $279.0K | 726 | $384.25 |
| Endoscopy Center Of Long Island Llc | Ambulatory Surgical Center | NY | $255.2K | 524 | $487.04 |
| San Francisco Endoscopy Center Llc | Ambulatory Surgical Center | CA | $162.3K | 268 | $605.48 |
| Monterey Bay Endoscopy Center Llc | Ambulatory Surgical Center | CA | $150.1K | 260 | $577.21 |
| Shreveport Endoscopy Center, A Medical Corporation | Ambulatory Surgical Center | LA | $147.7K | 379 | $389.65 |
| Integris Ddsi Endoscopy Centers Llc | Ambulatory Surgical Center | OK | $141.4K | 357 | $396.08 |
| Gastroenterology Associates Endoscopy Center, Llc | Ambulatory Surgical Center | CA | $137.7K | 271 | $507.96 |
| The Maryland Center For Digestive Health Llc | Ambulatory Surgical Center | MD | $134.7K | 328 | $410.80 |
| Gastrointestinal Associates Endoscopy Center, Llc | Ambulatory Surgical Center | MS | $133.1K | 343 | $387.97 |
| Jacksonville Endoscopy Centers Llc | Ambulatory Surgical Center | FL | $131.3K | 338 | $388.60 |
| Cape And Islands Endoscopy Center Llc | Ambulatory Surgical Center | MA | $130.6K | 284 | $460.03 |
| Southwest Endoscopy Llc | Ambulatory Surgical Center | AZ | $121.0K | 291 | $415.97 |
| Florham Park Endoscopy Asc Llc | Ambulatory Surgical Center | NJ | $120.7K | 273 | $442.11 |
| Carnegie Hill Endoscopy Llc | Ambulatory Surgical Center | NY | $118.1K | 240 | $492.12 |
| Gcsa Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | TX | $117.7K | 304 | $387.23 |
| Sansum Clinic | Ambulatory Surgical Center | CA | $114.5K | 218 | $525.24 |
| Tucson Digestive Institute Llc | Ambulatory Surgical Center | AZ | $114.2K | 292 | $391.24 |
| Irvine Endoscopy Partners Llc | Ambulatory Surgical Center | CA | $110.9K | 232 | $477.85 |
| Bay Area Surgicenter, Llc | Ambulatory Surgical Center | FL | $108.0K | 272 | $396.96 |
| Mngi Endoscopy Asc Inc | Ambulatory Surgical Center | MN | $106.0K | 241 | $440.01 |
Based on the data, CPT G0121 shows a 1.8x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 2.5% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.