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Scoliosis Progression Risk Score From Saliva

Missouri 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?

$79.43

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $67.61 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$67.61$33.11 to $91.20
FacilityA hospital or hospital-owned outpatient department$138$95.50 to $148

How much rates vary

Facilitymedian $138 · 10th to 90th $71 to $182Professionalmedian $68 · 10th to 90th $32 to $138
$50$100$200facility $138professional $68

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
$138.04
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$151.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$38.90
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$407.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$100.00
Typical High
$371.54
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
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$91.20

Where Missouri 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.

Missouri· 28th of 51

$79.43

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.