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Scoliosis Progression Risk Score From Saliva

New Hampshire 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 New Hampshire, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $302 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$79.43$51.29 to $79.43
FacilityA hospital or hospital-owned outpatient department$302$182 to $457

How much rates vary

Facilitymedian $302 · 10th to 90th $110 to $550Professionalmedian $79 · 10th to 90th $51 to $145
$50$100$200$500facility $302professional $79

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$199.53
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$64.57
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$616.60
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$51.29
Typical High
$51.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$257.04
Typical High
$346.74
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$79.43
Typical High
$79.43

Where New Hampshire 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.

New Hampshire· 20th 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.