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Irritable Bowel Syndrome Antibody Test

Ohio 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?

$89.13

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $162 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$11.48$6.92 to $89.13
FacilityA hospital or hospital-owned outpatient department$162$112 to $245

How much rates vary

Facilitymedian $162 · 10th to 90th $93 to $269Professionalmedian $11 · 10th to 90th $7 to $151
$10$20$50$100$200$500facility $162professional $11

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
$104.71
Median
$199.53
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.32
Typical High
$114.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$128.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$1,737.80
Typical High
$3,090.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$134.90
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$128.82
Typical High
$537.03
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$138.04
Typical High
$630.96
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$77.62
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$117.49
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$112.20
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$120.23

Where Ohio 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.

Ohio· 38th of 51

$89.13

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.