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Irritable Bowel Syndrome Antibody Test

Colorado 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?

$112

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $309 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$85.11$70.79 to $95.50
FacilityA hospital or hospital-owned outpatient department$309$186 to $468

How much rates vary

Facilitymedian $309 · 10th to 90th $112 to $562Professionalmedian $85 · 10th to 90th $47 to $95
$10$20$50$100$200$500facility $309professional $85

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
$85.11
Median
$245.47
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$85.11
Typical High
$104.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$331.13
Typical High
$562.34
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$46.77
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$134.90
Typical High
$162.18
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$144.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Select Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$208.93
Typical High
$234.42
Select Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$112.20
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$104.71

Where Colorado 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.

Colorado· 13th of 51

$112

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.