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Blood Screening Score For Colorectal Cancer

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $295 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$295$166 to $389
FacilityA hospital or hospital-owned outpatient department$389$389 to $891

How much rates vary

Facilitymedian $389 · 10th to 90th $389 to $977Professionalmedian $295 · 10th to 90th $52 to $468
$100$200$500$1Kfacility $389professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$562.34
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$389.05
Typical High
$478.63
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$977.24
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$389.05
Typical High
$562.34

Where Maine 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.

Maine· 17th 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.