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Blood Screening Score For Colorectal Cancer

Pennsylvania 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 Pennsylvania, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $759 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$316$302 to $331
FacilityA hospital or hospital-owned outpatient department$759$479 to $977

How much rates vary

Facilitymedian $759 · 10th to 90th $331 to $1,380Professionalmedian $316 · 10th to 90th $234 to $389
$200$500$1K$2Kfacility $759professional $316

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
$331.13
Median
$758.58
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$316.23
Typical High
$371.54
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$537.03
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$562.34
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$229.09
Typical High
$562.34
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$389.05
Typical High
$676.08
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$812.83
Typical High
$1,380.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$316.23
Typical High
$1,148.15
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$426.58
Typical High
$954.99
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$389.05
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$389.05
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$588.84

Where Pennsylvania 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.

Pennsylvania· 24th 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.