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Scoliosis Progression Risk Score From Saliva

Idaho 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?

$81.28

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $117 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$79.43$54.95 to $81.28
FacilityA hospital or hospital-owned outpatient department$117$79.43 to $200

How much rates vary

Facilitymedian $117 · 10th to 90th $79 to $245Professionalmedian $79 · 10th to 90th $33 to $98
$50$100$200facility $117professional $79

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
$141.25
Median
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$54.95
Typical High
$204.17
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$81.28
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$117.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$97.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$154.88
Typical High
$281.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$83.18
Select Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$102.33
Select Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$79.43

Where Idaho 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.

Idaho· 16th of 51

$81.28

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.