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Blood Screening Score For Colorectal Cancer

Tennessee 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?

$302

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $389 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$295$295 to $309
FacilityA hospital or hospital-owned outpatient department$389$309 to $1,072

How much rates vary

Facilitymedian $389 · 10th to 90th $234 to $1,862Professionalmedian $295 · 10th to 90th $257 to $389
$100$200$500$1Kfacility $389professional $295

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
$295.12
Median
$426.58
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$346.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$691.83
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$478.63
Typical High
$588.84
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$354.81
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$389.05

Where Tennessee 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.

Tennessee· 39th of 51

$302

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.