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Scoliosis Progression Risk Score From Saliva

Nebraska 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?

$120

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $209 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 7 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$87.10$47.86 to $129
FacilityA hospital or hospital-owned outpatient department$209$117 to $282

How much rates vary

Facilitymedian $209 · 10th to 90th $56 to $389Professionalmedian $87 · 10th to 90th $48 to $209
$50$100$200$500facility $209professional $87

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
$56.23
Median
$208.93
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$208.93
Typical High
$208.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$123.03
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$213.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$117.49
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$229.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$47.86
Typical High
$218.78

Where Nebraska 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.

Nebraska· 5th of 51

$120

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.