go back

Irritable Bowel Syndrome Antibody Test

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $112 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $195 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$112$77.62 to $112
FacilityA hospital or hospital-owned outpatient department$195$112 to $331

How much rates vary

Facilitymedian $195 · 10th to 90th $78 to $479Professionalmedian $112 · 10th to 90th $68 to $182
$50$100$200$500$1K$2K$5Kfacility $195professional $112

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
$77.62
Median
$194.98
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$77.62
Typical High
$91.20
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$67.61
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$87.10
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$138.04
Typical High
$169.82
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$190.55
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$186.21
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$67.61
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$112.20
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$134.90

Where Massachusetts 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.

Massachusetts· 20th 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.