FAQ: About the Tests

Are the tests to check for colorectal cancer painful?

Even if you do experience some pain, the tests only last about 30 minutes. If your doctor is able to detect a problem early, you will be able to address it with much less pain than if it were to develop into more advanced cancer.

Remember, you may experience a few minutes of discomfort, but this is far better than risking the possibility of larger problems in the future.

Are the tests to check for colorectal cancer embarrassing?

And even if you still feel a little embarrassed, this is a small price to pay to keep yourself healthy.

How long does it take to get tested?

Understandably, getting an unpleasant screening test when you feel fine may not be your first priority. But consider this: more than 33% of deaths from colorectal cancer could be avoided if people over age 50 had regular screening tests. Many cases of colorectal cancer begin without any symptoms, and are not discovered until the cancer has progressed. You are probably able to make time for the dentist or a haircut. A screening test shouldn't take any longer.

Isn't it worth it?

Are the tests expensive?

Flexible sigmoidoscopy costs between $150 and $300, and is covered by many insurance plans every 4 to 5 years. Medicare covers 80% of the cost every 4 years.

Colonoscopy is the most expensive screening test, usually costing between $800 and $1600. However, some insurance plans cover the procedure, especially for people who are at higher-than-average risk for colorectal cancer. Almost all plans cover the procedure if it is needed as a follow-up test after FOBT or flexible sigmoidoscopy. Medicare covers 80% of the cost for high-risk patients and those who need a colonoscopy as follow-up to a FOBT or flexible sigmoidoscopy.

Double contrast barium enema (DCBE) tests cost between $250 and $500. Since DCBE is still being scientifically evaluated, the insurance coverage is not as widespread as it is for the other screening tests. DCBE is covered by some insurance plans under special conditions, and Medicare will sometimes cover 80% of the cost if DCBE is substituted for flexible sigmoidoscopy or colonoscopy. Be sure to check with your insurance carrier or Medicare for complete information about your coverage.

As you can see, there is a wide range of costs for each of the screening tests, but most insurance plans cover at least one of the procedures. Even if you have to pay for FOBT on your own, the cost is very low and it is a valuable screening test. Don't let the cost stop you. If you still don't think you can get tested, check with some local hospitals or pharmacies to see if there are any free FOBT screenings in your area.

Are the tests accurate?

You should be sure to carefully follow the preparation instructions for your screening test so your chance of receiving an accurate result is increased. The preparation for each test is different, so make sure you ask your doctor what you should do in the days before the test. You should also make sure that you are checked on a regular basis. The American Cancer Society recommends the following schedule of screening tests beginning at age 50:

• Fecal occult blood test (FOBT) every year and flexible sigmoidoscopy every 5 years*, or
• Colonoscopy every 10 years, or
• Double contrast barium enema (DCBE) every 5 years