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Scoliosis Progression Risk Score From Saliva

Kansas 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?

$97.72

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $138 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$95.50$51.29 to $97.72
FacilityA hospital or hospital-owned outpatient department$138$91.20 to $174

How much rates vary

Facilitymedian $138 · 10th to 90th $76 to $186Professionalmedian $95 · 10th to 90th $48 to $98
$50$100$200facility $138professional $95

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
$75.86
Median
$169.82
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$58.88
Typical High
$79.43
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$144.54
Typical High
$177.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$85.11
Typical High
$107.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$47.86
Typical High
$117.49

Where Kansas 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.

Kansas· 11th of 51

$97.72

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.