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Blood Screening Score For Colorectal Cancer

New Jersey 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?

$331

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $589 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$302$234 to $331
FacilityA hospital or hospital-owned outpatient department$589$501 to $1,778

How much rates vary

Facilitymedian $589 · 10th to 90th $389 to $3,890Professionalmedian $302 · 10th to 90th $209 to $447
$200$500$1K$2K$5K$10K$20Kfacility $589professional $302

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
$501.19
Median
$524.81
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$870.96
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$446.68
Typical High
$588.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$229.09
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$251.19
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$389.05
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$234.42
Typical High
$389.05

Where New Jersey 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.

New Jersey· 26th of 51

$331

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.