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Colorectal Cancer Screening, Stool-Based DNA

Kentucky rates for HCPCS G0464

Colorec ca scr, sto bas dna

Rates data updated July 2026.

How much does Colorectal Cancer Screening, Stool-Based DNA cost?

$195

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $195 for this service. Most negotiated rates run $63.10 to $224.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $224 · 10th to 90th $224 to $224Professionalmedian $195 · 10th to 90th $63 to $224
$50$100$200$500facility $224professional $195

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$194.98
Typical High
$223.87
CareSource
Setting
Professional
Modifier
Global
Typical Low
$42,657.95
Median
$42,657.95
Typical High
$42,657.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$616.60

Where Kentucky sits

The same service costs 58.9 times more in Pennsylvania than in South Carolina. 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.

Kentucky· 42nd of 50

$195

PA $1,778SC $30.20

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.