go back

Irritable Bowel Syndrome Antibody Test

Montana 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?

$141

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $141 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 4 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$141$100 to $151
FacilityA hospital or hospital-owned outpatient department$141$141 to $178

How much rates vary

Facilitymedian $141 · 10th to 90th $112 to $339Professionalmedian $141 · 10th to 90th $47 to $219
$50$100$200facility $141professional $141

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$162.18
Typical High
$162.18
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$338.84
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$338.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$112.20

Where Montana 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.

Montana· 4th of 51

$141

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.