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Irritable Bowel Syndrome Antibody Test

South Dakota 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?

$186

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $129 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 6 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$214$105 to $269
FacilityA hospital or hospital-owned outpatient department$129$107 to $129

How much rates vary

Facilitymedian $129 · 10th to 90th $78 to $204Professionalmedian $214 · 10th to 90th $76 to $269
$50$100$200$500facility $129professional $214

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. Small sample; interpret with caution. 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
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$87.10
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$213.80
Typical High
$269.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$537.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$134.90
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$263.03
Typical High
$309.03
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
$67.61
Typical High
$147.91
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20

Where South Dakota 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.

South Dakota· 1st of 51

$186

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.