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How much does it cost to diagnose and stage colon cancer? | CION Cancer Clinics

Confirming and staging colon cancer usually takes a colonoscopy with biopsy and a CT scan of the chest, abdomen and pelvis. In Hyderabad each of these core tests costs in the thousands of rupees, not lakhs. A PET-CT and a wider gene panel add more, and only some people need them. This page sets out indicative ranges, what moves the bill and how to get a written estimate before you pay. At CION Cancer Clinics, we explain costs in writing and help families from across Telangana and Andhra Pradesh plan treatment in Hyderabad.

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Medically reviewed by Dr. Naresh GunduConsultant Medical Oncologist · MBBS, DNB (Internal Medicine), DM (Medical Oncology, AIIMS) · last reviewed October 2026, next review due October 2027
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The short answer

What does it cost to diagnose and stage colon cancer in Hyderabad?

For most people the core tests are a colonoscopy with biopsies and one CT scan of the chest, abdomen and pelvis. Each of these costs in the thousands of rupees, not lakhs, and the ranges are set out below. Two further tests, a PET-CT and a broad gene panel on the tumour, cost more and are needed only in some situations.

Diagnosis and staging are two different jobs

Diagnosis answers one question: is this cancer? That needs a colonoscopy, where a thin camera looks inside the bowel, and a biopsy, a small piece of tissue sent to a laboratory. Staging answers the next question: has it spread, and how far? That needs a CT scan, a CEA blood test (a marker some colon cancers release into the blood) and tests on the tumour itself. The full list, and why each one is done, is on the tests you will need page.

Who arranges what

CION's oncologists see you, decide which tests are needed and review the results at the tumour board. The colonoscopy, the scans, the biopsy and the pathology are carried out at accredited partner hospitals and diagnostic centres that CION arranges. Ask for an itemised estimate for each test before it is booked.

This page covers colon cancer. Rectal cancer is staged with an extra pelvic MRI and its costs differ, so see the rectal cancer pages if that is your diagnosis.

Indicative cost

What each diagnosis and staging test usually costs

These are 2026 Hyderabad estimates, not quotes. What you pay depends on the centre, the machine and what is bundled into the bill.

₹6,000 – ₹15,000

Colonoscopy with biopsy

The camera test that finds the tumour and takes tissue samples. Ask whether sedation and the pathology fee are included.

₹5,000 – ₹12,000

CT chest, abdomen and pelvis

The standard staging scan, done with contrast dye. Most people need only this one scan before a plan is made.

₹15,000 – ₹25,000

PET-CT, selective use

Not a routine test in colon cancer. It is used when surgery for spread is being weighed, or when other scans leave a question open.

₹15,000 – ₹60,000

Tumour molecular tests

MMR or MSI testing is advised for everyone. RAS, BRAF and HER2 are added mainly when the cancer has spread, and more genes means a higher figure.

Indicative only, dated 2026. Consultation fees, the CEA and other blood tests, any MRI and a second review of biopsy slides are quoted separately. If you hold Aarogyasri, Ayushman Bharat, CGHS or a cashless insurance policy, what you pay yourself can be very different. Call the helpline for an estimate against your own cover.

What moves the bill

Why do two families pay such different amounts for the same tests?

The list of tests is short. The spread in cost comes from four things.

Where each test is done

Hospital-based centres usually charge more than standalone diagnostic centres, and government hospitals charge far less but often have longer waits. The quality of the scan and its report matters more than the name on the building, because a poor scan may have to be repeated.

Whether a PET-CT is added

Many families ask for a PET-CT believing it is the more thorough scan. In colon cancer a good CT usually answers the staging question, and a PET-CT is added only when it would change the plan. The reasons are set out in when a PET-CT is and is not needed.

How wide the tumour testing goes

A single MMR test sits near the lower end of the molecular range. A broad gene panel sits near the top and is mostly useful when the cancer has spread and the choice of drug depends on it.

Usually ordered

  • MMR or MSI, for everyone
  • RAS and BRAF, if the cancer has spread
  • HER2, in selected cases

Repeats and gaps

Some of the cost comes from doing a test twice. A colonoscopy that could not reach the whole bowel, a scan that has aged by the time treatment is planned, or biopsy blocks left at another laboratory can each add a bill.

Bring every report, scan CD and the name of the laboratory holding your biopsy to the first appointment.

Leave a number, we will call you

One field. No form to fill in, and no charge for the call.

Before you pay

How do you get a written estimate and check your cover?

Gather what you already have

Bring every report, the scan images on a CD or a link, and the name of the laboratory holding your biopsy blocks. Recent tests of good quality may not need repeating, which is often the largest single saving.

Ask for an itemised estimate

Ask for each test to be listed on its own, with sedation, contrast dye, pathology and reporting fees shown. One round figure is hard to compare and hard to claim.

Check your policy or scheme first

Many insurance policies pay for tests done in a fixed period before a hospital admission, but not for outpatient tests on their own. Aarogyasri and Ayushman Bharat work through empanelled hospitals, so ask the scheme desk before the test, not after. More is on the insurance cover page.

Keep every paper together

One folder, with original bills, prescriptions and reports in date order. Claims and scheme approvals are often held up by a single missing page.

Side by side

Which tests does almost everyone need, and which only some?

Usually needed Only in some situations
Colonoscopy with biopsy CT colonography, if the colonoscopy cannot reach the whole colon
CT of the chest, abdomen and pelvis MRI of the liver, if a spot on the CT is unclear
CEA blood test and blood counts PET-CT, before surgery for spread or when scans disagree
MMR or MSI test on the tumour RAS, BRAF and HER2, mainly when the cancer has spread

Being straight with you

What this page cannot tell you

It cannot tell you what your own bill will be. Prices change, centres bundle fees differently, and the tests you need depend on what the first ones show. Use the ranges above to spot a quote that looks unusual, not as a promise of what you will pay.

It cannot decide which tests you need

Whether you need a PET-CT, an MRI or a wider gene panel is a clinical decision. It is made by an oncologist who has seen your colonoscopy report and your CT, often after a tumour board discussion. Asking for every test at the start rarely helps, and it can delay treatment while results come in.

Who this does not apply to

If you have no symptoms and want a screening test, the costs are different and are covered on the screening cost page. If the cancer is in the rectum, staging adds a pelvic MRI. If you were diagnosed during an emergency admission, most of these tests will already sit on the hospital bill.

Not sure which tests are still missing? Call the helpline with your reports to hand, and someone will tell you what remains before a plan can be made.

Questions we are asked

Common questions about the cost of colon cancer tests

Can the CT scan be skipped if the colonoscopy already found the cancer?

No. The colonoscopy shows the tumour inside the bowel but cannot see the liver, the lungs or the lymph nodes. The CT shows whether the cancer has spread, and the whole treatment plan depends on that answer. Skipping it to save money usually means a wrong or delayed plan.

Is a PET-CT better than a CT, and should I ask for one?

Not for routine colon cancer staging. A good CT with contrast answers the main question for most people. A PET-CT is used when surgery to remove spread in the liver or lungs is being considered, or when CT findings are unclear. Your oncologist will say whether it would change anything.

Will health insurance pay for the colonoscopy and CT?

It depends on your policy. Many policies pay for tests done in a set period before a hospital admission for the same illness, but not outpatient tests on their own. Some policies include outpatient cover. Read the pre-hospitalisation clause, and keep every bill in case a claim follows.

Does Aarogyasri cover the tests for diagnosis and staging?

Scheme cover runs through empanelled network hospitals. Tests done at a private centre outside the scheme are usually paid by the family. If you hold a card, go to the Aarogyamithra desk at an empanelled hospital before booking tests elsewhere, and ask what the scheme will cover there.

Why is the molecular test so costly, and does everyone need it?

Everyone with colon cancer should have an MMR or MSI test, because it can change treatment and can point to an inherited risk in the family. The wider RAS, BRAF and HER2 tests matter mostly when the cancer has spread. Ask which tests are being ordered, and why, before paying.

My biopsy was done in another town. Will it be repeated?

Often not. The laboratory that processed it keeps the tissue blocks and slides, which can be sent to Hyderabad for review or further tests. Ask that laboratory for the blocks and the report. A repeat colonoscopy is needed only if the sample was too small or the bowel was not fully seen.

Does the CEA blood test show the stage?

No. CEA is a marker that some colon cancers release into the blood. A raised level can support the picture, and a normal level does not rule out spread. It is measured at diagnosis mainly as a starting point for later comparison. The stage comes from the scans and the pathology.

How can CION help us with an estimate?

Call the helpline with your reports and tell us what has already been done. A CION oncologist can review what you have, say which tests are still needed and arrange them through partner centres, with an estimate before each one is booked. One helpline serves every CION centre.

What moves the figure

What affects the cost

Four things change the total more than anything else.

The technique used

A shaped or image-guided delivery costs more than a conventional one, and is chosen on clinical grounds rather than preference.

How many sessions

The total is driven by the number of sittings or cycles, not by a single per-visit figure.

Supporting tests

Scans, blood work and pathology done alongside treatment are billed separately.

Your cover

Aarogyasri, CGHS, ECHS, EHS or cashless insurance usually change the out-of-pocket figure substantially.

Paying for it

Insurance, schemes and payment

What you actually pay usually differs a great deal from the sticker figure.

AarogyasriEmpanelled. Bring the card and a referral where you have one.
CGHS / ECHS / EHSAccepted at CION centres for eligible treatment.
Cashless insuranceMost major insurers are empanelled. Pre-authorisation is handled by our desk.
Self-payItemised estimate given before treatment starts. No EMI scheme exists.

Accreditation and empanelment

  • NABH
  • NABL
  • ISO 9001:2015
  • ArogyaSri empanelled
  • CGHS accepted
  • ECHS accepted
  • EHS accepted
  • Major cashless insurers
Your Specialists

Meet CION's colon cancer specialists. Bring your colonoscopy, scan or biopsy report.

Our surgical and medical oncologists plan colon cancer care together: which operation, whether chemotherapy is needed, and the follow-up that comes after.

Dr. Naresh Gundu
Medical Oncologist

Dr. Naresh Gundu

MBBS, DNB (Internal Medicine), DM (Medical Oncology)

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Dr. C. Raghavendra Reddy
Medical Oncologist

Dr. C. Raghavendra Reddy

MBBS(Gold Medal), DNB(General Medicine), DM(Medical Oncology)(Gold Medal)

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Dr. Bharati Devi Gorantla
Medical Oncologist

Dr. Bharati Devi Gorantla

MBBS, MD(General Medicine), DM(Medical Oncology)(Adyar,Chennai), ECMO, MRCP SCE(UK)

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Dr. Owais Mohammed
Medical Oncologist

Dr. Owais Mohammed

MBBS, MD (General Medicine), DrNB (Medical Oncology), ECMO, MRCP SCE (Medical Oncology) (UK)

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Dr. T. Raghavender Reddy
Medical Oncologist

Dr. T. Raghavender Reddy

MBBS, DM (Medical Oncology), MD (Radiation Oncology)

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Dr. N. Kiranmayee
Medical Oncologist

Dr. N. Kiranmayee

MBBS, DM (Medical Oncology), MD (Internal Medicine)

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Dr. Muralidhar Muddusetty
Surgical Oncologist

Dr. Muralidhar Muddusetty

MBBS (AIIMS), MS (Surgery) (AIIMS), DNB (Surgical Oncology), MRCS (Edinburgh)

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Dr. Mohammed  Imaduddin
Surgical Oncologist

Dr. Mohammed Imaduddin

M.B.B.S, MS (General Surgery), M.Ch (Surgical Oncology)

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Want a specific doctor for your case? Mention them when booking.

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Where to find us

Our centres in and around Hyderabad

Addressed by landmark, because that is how this city navigates. One helpline books a consultation at any of these centres, and your team will tell you where each test and operation takes place.

CION Ameerpet

Beside Blue Fox Hotel, Satyam Theatre Road

Begumpet SR Nagar Punjagutta
CION Kukatpally

Opposite Big Bazaar, Mumbai Highway

KPHB JNTU Bharat Nagar
CION L.B. Nagar

Anu Arcade, next to L.B. Nagar Metro station

Vanasthalipuram Nagole Hayathnagar
CION Tolichowki

Inside Premier Hospital, Khader Bagh Road

Mehdipatnam Attapur Rethibowli
CION Masab Tank

Mahavir Hospital, AC Guards, Lakdikapul

Lakdikapul Khairatabad Basheer Bagh
CION Banjara Hills

Road No. 12

Jubilee Hills Madhapur Film Nagar
CION Kompally

Suchitra Circle, NH-44

Suchitra Circle Alwal Dundigal
CION Balanagar

Balanagar Main Road

Balanagar Fatehnagar Moosapet
CION Siddipet

Lohith Sai Hospital, Shivaji Nagar

Gajwel Husnabad Dubbaka
CION Sangareddy

X Roads, Pothreddipalle

Narayankhed Zaheerabad Patancheru

Sources

  1. American Cancer Society — Testing for Colorectal Cancer
  2. NHS — Tests and next steps for bowel cancer
  3. American Cancer Society — Colorectal Cancer Stages
  4. National Cancer Institute — Managing Cancer Costs and Medical Information

This page is general information, not a prescription. Do not change or stop any treatment based on what you read here. If anything is worrying you, contact your own treating team — or call our helpline and we will help you reach the right specialist.

Talk to us

Not sure which tests you still need to pay for?

Send us the reports you already have and we will tell you which tests are still missing and what they are likely to cost. One helpline serves every CION centre.

Call 1800 202 8726

Speak to an oncologist

Explore more

Colon Cancer Topics

Browse CION’s colon cancer guide — symptoms and screening, tests and staging, treatment decisions, diet and daily life, cost and care in Hyderabad. Tap any topic to read more.

Symptoms and early signs

Colon cancer symptoms: the complete list, and what usually causes them Early signs of colon cancer, and what usually explains them Do I have colon cancer? How to think about your symptoms Blood in stool: what it usually means, and when to get it checked Bright red or dark blood in the stool: what the colour tells you Is blood in the stool always piles? Piles vs colon cancer: how doctors tell them apart Fissure, fistula or something else: the benign causes of bleeding Blood only on the toilet paper: what it usually means Blood mixed into the stool: what it usually means and what to do Black, tarry stools: what melena means and when to act Mucus in stool: what it usually means and when it matters Change in bowel habit: when is it a warning sign? New constipation in an adult: what causes it and when to worry Diarrhoea that will not settle: could it be colon cancer? Alternating constipation and diarrhoea: what it usually means Narrow or pencil-thin stools: what they usually mean Feeling you have not emptied fully: is it tenesmus, and is it serious? Abdominal pain and colon cancer: where is it felt, and when does it matter? Bloating and gas: when they point to the colon A lump you can feel in the abdomen: what it usually is Unexplained weight loss: when is colon cancer the reason? Tiredness and iron-deficiency anaemia: could the colon be the cause? Why low haemoglobin in a man needs investigating Nausea, vomiting and bowel obstruction: what the symptoms mean When bowel symptoms are an emergency, and when they can wait How long should you wait before seeing a doctor about bowel symptoms? Which doctor should you see for bowel symptoms? What will the doctor ask and examine for a bowel symptom? Does a normal examination rule out colon cancer? Colon cancer symptoms in young adults, and why they get missed Colon cancer symptoms with no bleeding at all Can colon cancer be silent, with no symptoms at all? Symptoms that can suggest colon cancer has spread A bowel symptom diary to take to your appointment

Causes and risk factors

What causes colon cancer, and why there is rarely one answer Colon cancer risk factors you can change, and what each one is worth Colon cancer risk factors you cannot change, and what to do about them Red meat and colon cancer: how much does it really raise the risk? Does processed meat raise your risk of colon cancer? Does a low-fibre diet cause colon cancer? Alcohol and colon cancer: how much does drinking raise the risk? Smoking and colon cancer: how the risk works and what stopping changes Obesity, belly fat and colon cancer: what the link really means Does sitting all day and not exercising raise colon cancer risk? Does type 2 diabetes raise your risk of colon cancer? Inflammatory bowel disease and colon cancer risk: what it really means Colonoscopy surveillance in long-standing colitis: how often, and why Previous polyps: what they mean for your future colon cancer risk A previous cancer and your risk of a second colon cancer Age and colon cancer: how your risk changes over a lifetime Is colon cancer hereditary, and what does it mean for your family? Family history of colon cancer: what it means for your risk Gut bacteria and colon cancer: what is known and what is not Does antibiotic use raise the risk of colon cancer? Radiation to the abdomen and the risk of bowel cancer later Does the Indian diet raise or lower colorectal cancer risk? Does spicy food cause colon cancer? Does constipation cause colon cancer, or is it a warning sign? Can piles turn into colon cancer, or raise your risk? Reducing your own colon cancer risk: what actually works Does aspirin prevent colon cancer, and should you take it? Do calcium and vitamin D really prevent colon cancer?

Screening

Colon cancer screening: who needs it, when, and how it is done Why screening works for colon cancer, and who it is for At what age should colon cancer screening start? Should colon cancer screening start at 45 or 50? Colon cancer screening tests compared: which one should you choose? FIT test explained: what the home stool test can and cannot tell you How to do a FIT stool test at home, step by step A positive FIT result: what happens next A negative FIT result: what it does not rule out FOBT vs FIT: how the two stool blood tests differ, and which to choose Stool DNA testing: what it finds and whether it suits you in India Screening colonoscopy: what happens, step by step How often should you have a screening colonoscopy? Sigmoidoscopy as a screening test: what it checks and what it misses CT colonography: what a virtual colonoscopy can and cannot do Colon capsule endoscopy: the camera pill, explained Can a blood test screen for colon cancer? Is a CEA blood test a screening test for colon cancer? Average-risk vs high-risk colon cancer screening: which pathway are you on? Screening when a parent or sibling had colon cancer: when to start Screening in Lynch syndrome and polyposis families Colon cancer screening with inflammatory bowel disease When should colon cancer screening stop? What does colon cancer screening cost in Hyderabad? Is colon cancer screening covered by insurance or Aarogyasri? Why so few Indians get screened for colon cancer Overcoming embarrassment about bowel screening and colonoscopy Colon cancer screening for women and men: what is different? Health check packages: do they include bowel screening? How to convince a parent to get screened for colon cancer

Treatment by stage

Colon cancer treatment options, explained stage by stage How your colon cancer treatment plan is decided Treatment for stage 1 colon cancer: what to expect Treatment for stage 2 colon cancer: surgery first, then a careful decision Treatment for stage 3 colon cancer: surgery, then chemotherapy Treatment for stage 4 colon cancer: how the plan is decided The tumour board: who decides your colon cancer treatment? Does surgery always come first for colon cancer? When is chemotherapy given before colon cancer surgery? Do you need chemotherapy after colon cancer surgery? The stage 2 dilemma: do you need chemotherapy after surgery? Three months or six months of chemotherapy after colon cancer surgery? How soon after colon cancer surgery should chemotherapy start? ctDNA testing after colon cancer surgery: can a blood test guide chemotherapy? Which chemotherapy regimen for which situation in colon cancer? When is targeted therapy added for colon cancer? Why does tumour side change the drug choice in colon cancer? When is immunotherapy an option for colon cancer? Is radiation ever used for colon cancer? Treatment when you are not fit for colon cancer surgery Colon cancer treatment in elderly patients: why age alone does not decide Colon cancer treatment alongside diabetes, heart or kidney disease Refusing or delaying colon cancer treatment: what happens How quickly does colon cancer treatment need to start? Clinical trials for colon cancer in India: how they work and how to find one Getting a second opinion on your colon cancer treatment plan Questions to ask before starting colon cancer treatment

Metastatic and advanced disease

Metastatic colon cancer: what it means and what can still be done Colon cancer that has spread to the liver: what it means When colon cancer in the liver is curable by surgery Who is eligible for liver surgery when colon cancer has spread? Conversion chemotherapy: shrinking liver spread so surgery becomes possible Ablation for colon cancer that has spread to the liver Colon cancer that has spread to the lungs: what it means and what can be done Peritoneal spread in colon cancer: what it means Colon cancer that has spread to the bones: what it means and what is done Colon cancer that has spread to the brain In what order is stage 4 colon cancer treated? First-line, second-line and third-line treatment for colon cancer When colon cancer treatment stops working: what comes next Maintenance treatment and chemotherapy breaks in stage 4 colon cancer Chemotherapy rechallenge in colon cancer: going back to a drug that worked Managing bowel obstruction in advanced colon cancer: the options and how to choose Fluid in the abdomen with colon cancer: what ascites means Liver failure and jaundice in advanced colon cancer How pain is controlled in advanced colon cancer Living well with stage 4 colon cancer: what it looks like day to day Deciding when to stop active treatment for colon cancer Palliative care alongside colon cancer treatment: what it is and when to ask Advance care planning in colon cancer: putting your wishes on record End of life with colon cancer: what to expect and how to help
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