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Blood Screening Score For Colorectal Cancer

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $550 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 8 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$282$204 to $331
FacilityA hospital or hospital-owned outpatient department$550$389 to $851

How much rates vary

Facilitymedian $550 · 10th to 90th $309 to $933Professionalmedian $282 · 10th to 90th $204 to $513
$200$500$1Kfacility $550professional $282

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
$346.74
Median
$676.08
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$234.42
Typical High
$446.68
CareSource
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$446.68
CareSource
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$6,165.95
Typical High
$10,715.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$467.74
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$446.68
Typical High
$1,862.09
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$489.78
Typical High
$2,187.76
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$213.80
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$407.38
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$389.05
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$416.87

Where Ohio 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.

Ohio· 38th 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.