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Irritable Bowel Syndrome Antibody Test

New York 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?

$77.62

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $61.66 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 8 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$61.66$15.14 to $89.13
FacilityA hospital or hospital-owned outpatient department$195$112 to $257

How much rates vary

Facilitymedian $195 · 10th to 90th $78 to $309Professionalmedian $62 · 10th to 90th $7 to $117
$10$20$50$100$200$500facility $195professional $62

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
$199.53
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$109.65
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$537.03
Typical High
$537.03
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$426.58
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$67.61
Typical High
$218.78
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$125.89
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$112.20
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$162.18
Univera
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$128.82
Univera
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$107.15
Typical High
$128.82

Where New York 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 York· 48th of 51

$77.62

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.