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Scoliosis Progression Risk Score From Saliva

Illinois 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 June 2026.

Facilitymedian $132 · 10th–90th $79$2340%10%10th90th$132Professionalmedian $68 · 10th–90th $52$1000%20%10th90th$68$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$138.04
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$93.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$107.15
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$173.78
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$104.71
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$109.65
Typical High
$199.53
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$79.43