Why Screenings Matter
Studies show that survival rates for colorectal cancer exceed 90% when caught in stage one or zero. Additionally, screening with colonoscopies can remove precancerous polyps before they have a chance to grow and cause serious issues.
Available Screening Methods
- Colonoscopy: This procedure allows doctors to examine the entire colon; remove polyps or take biopsies as necessary.
- Fecal Immunochemical Test (FIT): A non-invasive stool test that detects hidden blood.
- Stool DNA Test: Checks for genetic markers associated with cancer.
- Flexible Sigmoidoscopy: Examines the lower part of the colon.
When to Get Screened
Historically, colorectal cancer has been considered a disease affecting older adults. However, in recent years, there has been a troubling rise in cases among individuals under 45. According to the ACS, cases in younger adults have increased by 2% annually since the mid-1990s, making awareness and early detection more important than ever.
The American Cancer Society (ACS) recommends that individuals at average risk for colorectal cancer begin regular screenings at age 45. However, those with a family history or other risk factors should consult their healthcare provider about starting earlier.
- Ages 45-75: Regular screenings are crucial.
- Ages 76-85: Screenings should be based on overall health and previous results.
- Over 85: Based on medical team advice
For Additional Information: Things to Know About Colonoscopies Guide click here
Frequency of Screening
For people with average risk of colon cancer, a colonoscopy is recommended every 10 years.
Several factors may contribute to frequency increase:
- Family History – Individuals with a family history of colorectal cancer or polyps are at a higher risk and may need earlier and more frequent screenings.
- Symptoms and Health – Persistent digestive issues, unexplained weight loss, and blood in the stool should prompt immediate medical evaluation.
- Past Colonoscopy Results – Those who have had polyps removed or abnormal findings may require more frequent screenings.
Cost of Screening for Colorectal Cancer
The cost of screening varies based on the type of test, insurance coverage, and healthcare provider. Below is a general breakdown:
- Under the Affordable Care Act (ACA), many insurance plans must cover preventive colorectal screenings, though coverage rules may differ based on age and risk factors. Additionally, nonprofit organizations may provide financial assistance for those who qualify.
- Colonoscopy – Typically costs between $1,500 and $3,500 without insurance. Many insurance plans cover this test as a preventive measure, but out-of-pocket costs may apply depending on deductibles and co-pays.
- Stool-Based Tests – Options like FIT (Fecal Immunochemical Test) or Cologuard range from $25 to $600, with many insurance plans covering them. However, a positive result often requires a follow-up colonoscopy.
- CT Colonography (Virtual Colonoscopy) – Generally costs between $500 and $1,500, and coverage varies based on insurance plans.
Early screening can save lives by detecting cancer at a treatable stage, making it essential for younger adults experiencing symptoms or with a family history to discuss screening options with their healthcare provider.