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Scoliosis Progression Risk Score From Saliva

Iowa 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?

$95.50

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $186 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 8 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$47.86 to $102
FacilityA hospital or hospital-owned outpatient department$186$110 to $209

How much rates vary

Facilitymedian $186 · 10th to 90th $79 to $229Professionalmedian $83 · 10th to 90th $48 to $204
$50$100$200facility $186professional $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
$79.43
Median
$186.21
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$102.33
Typical High
$102.33
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$107.15
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$79.43
Typical High
$316.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$97.72
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$85.11
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$199.53
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43

Where Iowa 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.

Iowa· 13th of 51

$95.50

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.