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Irritable Bowel Syndrome Antibody Test

Indiana 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?

$95.50

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $123 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$67.61$6.92 to $91.20
FacilityA hospital or hospital-owned outpatient department$123$112 to $245

How much rates vary

Facilitymedian $123 · 10th to 90th $112 to $339Professionalmedian $68 · 10th to 90th $7 to $112
$10$20$50$100$200$500$1Kfacility $123professional $68

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
$112.20
Median
$173.78
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$91.20
Typical High
$112.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$338.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$6.92
Typical High
$85.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$1,621.81
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$186.21
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$128.82
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$112.20
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$123.03

Where Indiana 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.

Indiana· 31st of 51

$95.50

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.