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Blood Screening Score For Colorectal Cancer

Kentucky 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?

$309

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $389 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$302$204 to $324
FacilityA hospital or hospital-owned outpatient department$389$324 to $759

How much rates vary

Facilitymedian $389 · 10th to 90th $309 to $933Professionalmedian $302 · 10th to 90th $174 to $389
$200$1K$5K$20Kfacility $389professional $302

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
$323.59
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$323.59
Typical High
$389.05
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$204.17
CareSource
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$5,888.44
Typical High
$46,773.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$7,244.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$575.44
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,862.09
Typical High
$1,862.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$389.05
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$389.05

Where Kentucky 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.

Kentucky· 34th of 51

$309

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.