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Scoliosis Progression Risk Score From Saliva

New Mexico 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 Mexico, July 2026.

Insurers have agreed to pay about $79.43 for this service. Most negotiated rates run $58.88 to $95.50.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $141 · 10th to 90th $79 to $251Professionalmedian $59 · 10th to 90th $33 to $95
$50$100$200facility $141professional $59

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
$117.49
Median
$234.42
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$95.50
Molina
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$100.00
Typical High
$154.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$114.82
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$47.86

Where New Mexico 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 Mexico· 17th 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.