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Blood Screening Score For Colorectal Cancer

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $295 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $537 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 7 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$251 to $331
FacilityA hospital or hospital-owned outpatient department$537$331 to $871

How much rates vary

Facilitymedian $537 · 10th to 90th $275 to $1,778Professionalmedian $295 · 10th to 90th $204 to $389
$200$500$1K$2Kfacility $537professional $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
$741.31
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$331.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,041.74
Typical High
$2,454.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$977.24
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$446.68
Typical High
$562.34
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$575.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$302.00
Typical High
$467.74
Medcost
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$812.83
Sentara
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$1,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$389.05
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$194.98
Typical High
$389.05

Where Virginia 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.

Virginia· 41st 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.