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Irritable Bowel Syndrome Antibody Test

New Jersey 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?

$95.50

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $170 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$87.10$61.66 to $95.50
FacilityA hospital or hospital-owned outpatient department$170$148 to $513

How much rates vary

Facilitymedian $170 · 10th to 90th $112 to $1,122Professionalmedian $87 · 10th to 90th $59 to $112
$50$200$1K$5K$20Kfacility $170professional $87

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
$144.54
Median
$147.91
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$245.47
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$128.82
Typical High
$169.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$52.48
Typical High
$66.07
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$72.44
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$112.20
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$67.61
Typical High
$112.20

Where New Jersey 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 Jersey· 29th of 51

$95.50

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.