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Blood Screening Score For Colorectal Cancer

Wisconsin 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 June 2026.

Facilitymedian $776 · 10th–90th $309$1,8620%10%20%10th90th$776Professionalmedian $324 · 10th–90th $204$1,1220%10%10th90th$324$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$1,071.52
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$467.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$1,348.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,258.93
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$1,230.27
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$1,348.96
Typical High
$2,290.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$1,862.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$234.42
Typical High
$707.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$85.11
Typical High
$389.05
Network Health
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$467.74
Typical High
$1,122.02
Network Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$389.05
Typical High
$776.25
Quartz
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$891.25
Typical High
$1,288.25
Quartz
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,862.09
Security Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$691.83