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Irritable Bowel Syndrome Antibody Test

Utah 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?

$100

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $537 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 7 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$97.72$89.13 to $105
FacilityA hospital or hospital-owned outpatient department$537$100 to $537

How much rates vary

Facilitymedian $537 · 10th to 90th $100 to $708Professionalmedian $98 · 10th to 90th $76 to $117
$50$100$200$500facility $537professional $98

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
$100.00
Median
$537.03
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$100.00
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$117.49
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$162.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$128.82
Typical High
$134.90
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$100.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Select Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$144.54
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$97.72
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$112.20

Where Utah 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.

Utah· 26th of 51

$100

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.