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Blood Screening Score For Colorectal Cancer

South Dakota 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?

$447

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $447 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$447$302 to $912
FacilityA hospital or hospital-owned outpatient department$447$372 to $447

How much rates vary

Facilitymedian $447 · 10th to 90th $275 to $724Professionalmedian $447 · 10th to 90th $263 to $933
$200$500$1Kfacility $447professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$302.00
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$933.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$1,862.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$467.74
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$912.01
Typical High
$1,071.52
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
$234.42
Typical High
$467.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05

Where South Dakota 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.

South Dakota· 7th of 51

$447

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.