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Irritable Bowel Syndrome Antibody Test

Virginia 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?

$83.18

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 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 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$83.18$46.77 to $95.50
FacilityA hospital or hospital-owned outpatient department$170$95.50 to $263

How much rates vary

Facilitymedian $170 · 10th to 90th $78 to $513Professionalmedian $83 · 10th to 90th $7 to $123
$10$20$50$100$200$500facility $170professional $83

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
$95.50
Median
$234.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$87.10
Typical High
$95.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$691.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$275.42
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$128.82
Typical High
$162.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$134.90
Typical High
$165.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$134.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$234.42
Sentara
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$281.84
Sentara
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$112.20
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$56.23
Typical High
$112.20

Where Virginia 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.

Virginia· 43rd of 51

$83.18

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.