go back

Blood Screening Score For Colorectal Cancer

Texas 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?

$295

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $275 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 9 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$275$234 to $295
FacilityA hospital or hospital-owned outpatient department$447$295 to $724

How much rates vary

Facilitymedian $447 · 10th to 90th $234 to $1,820Professionalmedian $275 · 10th to 90th $166 to $389
$200$500$1K$2Kfacility $447professional $275

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
$234.42
Median
$467.74
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$275.42
Typical High
$380.19
Christus
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$630.96
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$426.58
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$389.05
Typical High
$389.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$954.99
Providence
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$389.05
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$389.05
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$389.05
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$269.15
Typical High
$524.81

Where Texas 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.

Texas· 43rd of 51

$295

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.