What kind of colorectal cancer screening is best? Which is most cost-effective? And what do I need to cover in my benefit plan?
The Alliance recently created an employer briefing to help employers answer these questions about colorectal cancer screening.
The briefing reflects the 2016 recommendations on colorectal cancer screening from the U.S. Preventive Services Task Force (USPSTF). The chart below is part of the employer briefing; we’re sharing it here to give you a quick comparison of colorectal cancer screening options.
So which type of colorectal cancer screening is best? The USPSTF and other experts say it’s the one that employees will actually use. I encourage you to check out the employer briefing to learn more about covering colorectal cancer screening in your self-funded health plan.
Comparing Colorectal Cancer Screening Options in The Alliance Network
|Test||Interval||Per Screening Procedure Cost to Employer*+||Total Estimated Screening Cost,
Age 50 – 75#
|Colonoscopy||Every 10 years||$2,300 – $5,100||Medium Anticipated Cost|
|FIT||Every year||$130 – $530!||Low Anticipated Cost|
|FOBT||Every year||$40 – $410!||Low Anticipated Cost|
|Sigmoidoscopy||Every 10 years plus FIT every year||$1580 – $1620||High Anticipated Cost|
|CT Colonography||Every 5 years||$1,330||Low Anticipated Cost|
|Fecal DNA Testing||Every 3 years||$550||Low Anticipated Cost|
*Screening should require $0 patient out-of-pocket costs but the amount your employer is charged by the hospital will vary based on type of test and location of service. Your employer pays for your health care benefits directly rather than paying for insurance.
+Cost Per Screening encompasses a median of all typical charges rendered the same day as the screening.
!The costs of the individual services for FIT and FOBT tests are typically very small ($15 – $50); however, it is typical this test is done in conjunction with other services done the same day. We show the estimated cost range based on provider billing and service practices for the entire day of service.
#Modeled results of total estimated screening cost full methodology available here.
|Test||CPT Codes Used for Screening|
|Fecal DNA Test||81528|