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Irritable Bowel Syndrome Antibody Test

Kentucky 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?

$67.61

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $6.92 from a physician practice, and about $141 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 6 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$6.92$6.92 to $89.13
FacilityA hospital or hospital-owned outpatient department$141$91.20 to $269

How much rates vary

Facilitymedian $141 · 10th to 90th $91 to $269Professionalmedian $7 · 10th to 90th $6 to $138
$10$100$1K$10Kfacility $141professional $7

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
$91.20
Median
$141.25
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$102.33
Typical High
$154.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$6.92
Typical High
$13.80
CareSource
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$1,995.26
Typical High
$46,773.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$162.18
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$537.03
Typical High
$537.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$112.20
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$112.20

Where Kentucky 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.

Kentucky· 51st of 51

$67.61

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.