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Scoliosis Progression Risk Score From Saliva

Arizona rates for HCPCS 0004M

Estimates how likely a curve of the spine, known as scoliosis, is to get worse. It examines 53 inherited genetic markers in a saliva sample and combines them into a single risk score rather than reporting each marker separately.

Rates data updated July 2026.

How much does Scoliosis Progression Risk Score From Saliva cost?

$67.61

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $141 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 5 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$58.88$35.48 to $67.61
FacilityA hospital or hospital-owned outpatient department$141$85.11 to $372

How much rates vary

Facilitymedian $141 · 10th to 90th $62 to $550Professionalmedian $59 · 10th to 90th $33 to $68
$50$100$200$500facility $141professional $59

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
$85.11
Median
$120.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$66.07
Typical High
$67.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$389.05
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$57.54
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$61.66
Typical High
$186.21
Medica
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$79.43
Typical High
$141.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$47.86

Where Arizona sits

The same service costs 4.3 times more in Alaska than in Delaware. 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.

Arizona· 33rd of 51

$67.61

AK $178DE $41.69

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.