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Blood Screening Score For Colorectal Cancer

Maryland 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?

$295

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $295 for this service. Most negotiated rates run $257 to $295.

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.

How much rates vary

Facilitymedian $186 · 10th to 90th $166 to $389Professionalmedian $295 · 10th to 90th $178 to $324
$200$500facility $186professional $295

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
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$295.12
Typical High
$323.59
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$309.03
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$446.68
Typical High
$562.34
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$426.58
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$177.83
Typical High
$389.05
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$257.04
Typical High
$588.84

Where Maryland 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.

Maryland· 42nd of 51

$295

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.