Rate Benchmarking
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See a sample rate comparisonHCPCS G0121 Fee Schedule
Medicare rates as of October 2026
HCPCS G0121 is classified under Procedures / Professional Services, in the Screening Examinations and Disease Management Training subgroup.
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Screening Examinations and Disease Management Training |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $378.43 national non-facility rate (2026) · View Medicare rates for G0121 |
| Medicaid Fee Schedule | $296.095 median of the 8 states in the free preview · View Medicaid rates for G0121 |
National average reimbursement for HCPCS G0121 by major payers:
$405.34
BCBS / Anthem
$472.74
UnitedHealthcare
$440.69
Aetna
$369.76
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0121.
HCPCS G0121
5 of 25 sample ratesHigher to lower in this preview
Elie Salem
Weeks Medical Center
$1,182.78Published rateAttila Farkas
Prime Health Group LLC
$326.63Published rateShatha Abudamous
Bethany Clinic PC
$274.32Published rateSandip Parikh
Sandip Parikh Md LLC
$198.19Published rateWedad Michael
Somers Medical Care LLC
$104.22Published rate
Get a free rate benchmark for your specialty.
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Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
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See a sample payer proposalHCPCS G0121 vs. Other Screening Examinations and Disease Management Training Codes
| Code | Complexity | Description |
|---|---|---|
| G0121-HCPCS | Moderate | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0121. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0121 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
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Bring your top codes (like HCPCS G0121) and we'll show you how you compare in 15 minutes or less.