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Irritable Bowel Syndrome Antibody Test

Michigan 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?

$107

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $107 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$91.20$79.43 to $107
FacilityA hospital or hospital-owned outpatient department$107$107 to $132

How much rates vary

Facilitymedian $107 · 10th to 90th $100 to $195Professionalmedian $91 · 10th to 90th $68 to $132
$50$100facility $107professional $91

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
$107.15
Median
$107.15
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$107.15
Typical High
$131.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$79.43
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$138.04
Typical High
$169.82
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$114.82
Typical High
$281.84
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$112.20
Typical High
$151.36
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$112.20
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$112.20

Where Michigan 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.

Michigan· 23rd of 51

$107

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.