go back

Gastrointestinal Infection Panel

Massachusetts rates for HCPCS 0097U

Finds the cause of a gut infection such as diarrhea by testing a patient sample for the genetic material of 22 organisms at once. The panel spans bacteria including Campylobacter, Salmonella, Shigella and Clostridium difficile, viruses including norovirus and rotavirus, and parasites including Giardia and Cryptosporidium.

Rates data updated July 2026.

How much does Gastrointestinal Infection Panel cost?

$891

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $891 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,622$537 to $1,622
FacilityA hospital or hospital-owned outpatient department$891$363 to $891

How much rates vary

Facilitymedian $891 · 10th to 90th $219 to $891Professionalmedian $1,622 · 10th to 90th $457 to $1,622
$200.0$500.0$1.0Kfacility $891professional $1,622

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$457.09
Typical High
$549.54
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$363.08

Where Massachusetts sits

The same service costs 1548.8 times more in Kentucky than in South Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $891 · 7th of 35
KY $46,774SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.