go back

Blood Screening Score For Colorectal Cancer

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $331 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$309$282 to $309
FacilityA hospital or hospital-owned outpatient department$331$309 to $676

How much rates vary

Facilitymedian $331 · 10th to 90th $234 to $1,862Professionalmedian $309 · 10th to 90th $234 to $355
$200$500$1Kfacility $331professional $309

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
$309.03
Median
$309.03
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$309.03
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$1,023.29
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$478.63
Typical High
$588.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$309.03
Typical High
$407.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$389.05
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$194.98
Typical High
$389.05
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09

Where North Carolina 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.

North Carolina· 36th 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.