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Irritable Bowel Syndrome Antibody Test

Idaho 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 Idaho, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $170 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 8 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$105$95.50 to $112
FacilityA hospital or hospital-owned outpatient department$170$112 to $282

How much rates vary

Facilitymedian $170 · 10th to 90th $112 to $347Professionalmedian $105 · 10th to 90th $78 to $135
$50$100$200facility $170professional $105

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
$204.17
Median
$288.40
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$104.71
Typical High
$109.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$208.93
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$109.65
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$234.42
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$162.18
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$144.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$134.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$407.38
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$95.50
Typical High
$117.49
Select Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$144.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$112.20

Where Idaho 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.

Idaho· 15th 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.