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Blood Screening Score For Colorectal Cancer

Georgia rates for HCPCS 0163U

Screens for colorectal cancer and for advanced pre-cancerous growths in the bowel using a blood sample. Three proteins — Cripto-1, carcinoembryonic antigen and an extracellular matrix protein — are measured in plasma or serum and combined with the person's age, sex and screening history into a single likelihood figure.

Rates data updated July 2026.

How much does Blood Screening Score For Colorectal Cancer cost?

$331

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $447 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 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$309$257 to $372
FacilityA hospital or hospital-owned outpatient department$447$347 to $525

How much rates vary

Facilitymedian $447 · 10th to 90th $257 to $617Professionalmedian $309 · 10th to 90th $204 to $389
$200$500$1Kfacility $447professional $309

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$302.00
Typical High
$371.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$446.68
Typical High
$524.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$389.05
Typical High
$389.05
CareSource
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$478.63
Typical High
$588.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$446.68
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$354.81
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$389.05

Where Georgia sits

The same service costs 2.3 times more in North Dakota than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Georgia· 27th of 51

$331

ND $589FL $251

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.