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Blood Screening Score For Colorectal Cancer

Massachusetts 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?

$389

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $676 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 7 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$389$275 to $389
FacilityA hospital or hospital-owned outpatient department$676$389 to $1,148

How much rates vary

Facilitymedian $676 · 10th to 90th $275 to $1,660Professionalmedian $389 · 10th to 90th $234 to $631
$200$500$1K$2K$5Kfacility $676professional $389

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
$275.42
Median
$676.08
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$275.42
Typical High
$371.54
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$234.42
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$302.00
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$478.63
Typical High
$588.84
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$660.69
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$645.65
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$234.42
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$389.05
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$467.74

Where Massachusetts 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.

Massachusetts· 14th of 51

$389

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.