CPT 0496U Pathology/Laboratory
Analysis of genes and proteins to determine risk of colorectal cancer or Cost
Body System: General
Medicare Facility Rate
$486
CMS PFS CY2026
Medicare Non-Facility Rate
$486
Office/clinic setting
Frequently Asked Questions
How much does Analysis of genes and proteins to determine risk of colorectal cancer or cost?
The Medicare facility rate is $486. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Analysis of genes and proteins to determine risk of colorectal cancer or cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $486.