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Irritable Bowel Syndrome Antibody Test

Arizona rates for HCPCS 0164U

Helps tell whether a person's bowel symptoms are due to irritable bowel syndrome. It measures two antibodies in blood plasma, one against the bacterial toxin CdtB and one against vinculin, a protein in the gut wall, and interprets them against thresholds set for IBS.

Rates data updated July 2026.

How much does Irritable Bowel Syndrome Antibody Test cost?

$110

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $61.66 from a physician practice, and about $162 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$61.66$46.77 to $93.33
FacilityA hospital or hospital-owned outpatient department$162$95.50 to $302

How much rates vary

Facilitymedian $162 · 10th to 90th $71 to $447Professionalmedian $62 · 10th to 90th $47 to $135
$50$100$200$500facility $162professional $62

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
$120.23
Median
$169.82
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$281.84
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$93.33
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$85.11
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$138.04
Typical High
$169.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$91.20
Typical High
$537.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$112.20

Where Arizona sits

The same service costs 2.8 times more in South Dakota than in Kentucky. 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.

Arizona· 22nd of 51

$110

SD $186KY $67.61

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.