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Blood Screening Score For Colorectal Cancer

Montana 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?

$490

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $490 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$447$389 to $490
FacilityA hospital or hospital-owned outpatient department$490$490 to $631

How much rates vary

Facilitymedian $490 · 10th to 90th $389 to $1,175Professionalmedian $447 · 10th to 90th $166 to $676
$100$200$500$1Kfacility $490professional $447

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
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$562.34
Typical High
$562.34
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$489.78
Typical High
$1,174.90
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$489.78
Typical High
$1,174.90
Providence
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$354.81
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$389.05

Where Montana 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.

Montana· 3rd of 51

$490

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.