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Blood Screening Score For Colorectal Cancer

Illinois 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?

$398

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $589 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 5 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$324$302 to $468
FacilityA hospital or hospital-owned outpatient department$589$398 to $776

How much rates vary

Facilitymedian $589 · 10th to 90th $324 to $832Professionalmedian $324 · 10th to 90th $234 to $794
$200$500$1Kfacility $589professional $324

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
$323.59
Median
$588.84
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$323.59
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$831.76
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$478.63
Typical High
$588.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$691.83
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$407.38
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$389.05

Where Illinois 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.

Illinois· 10th of 51

$398

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.