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Irritable Bowel Syndrome Antibody Test

New Hampshire 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?

$91.20

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $214 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$85.11$72.44 to $182
FacilityA hospital or hospital-owned outpatient department$214$214 to $490

How much rates vary

Facilitymedian $214 · 10th to 90th $182 to $646Professionalmedian $85 · 10th to 90th $68 to $214
$10$20$50$100$200$500facility $214professional $85

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
$158.49
Median
$281.84
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$91.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$213.80
Typical High
$645.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$72.44
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$363.08
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$162.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$194.98
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$112.20

Where New Hampshire 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.

New Hampshire· 34th of 51

$91.20

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.