go back

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.

Facilitymedian $209 · 10th–90th $56$3890%10%20%10th90th$209Professionalmedian $87 · 10th–90th $48$2090%20%10th90th$87$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
$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