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Irritable Bowel Syndrome Antibody Test

Connecticut 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 October 2026.

How much does Irritable Bowel Syndrome Antibody Test cost?

$67.61

Typical negotiated rate. In Connecticut, October 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $50.12 to $112.

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.

How much rates vary

Facilitymedian $178 · 10th to 90th $120 to $295Professionalmedian $63 · 10th to 90th $35 to $112
$10$20$50$100$200$500facility $178professional $63

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$77.62
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$173.78
Typical High
$275.42
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$57.54
Typical High
$81.28
Cigna
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$269.15
Typical High
$407.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$162.18
ConnectiCare
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$66.07
Typical High
$66.07
United
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$74.13
Typical High
$194.98
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$37.15
Median
$37.15
Typical High
$38.90
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.79
Median
$14.79
Typical High
$15.85

Where Connecticut sits

The same service costs 15.5 times more in Alaska 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.

Connecticut· 45th of 51

$67.61

AK $214KY $13.80

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.