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Scoliosis Progression Risk Score From Saliva

Nevada 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 Nevada, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $170 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 6 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$47.86$33.11 to $70.79
FacilityA hospital or hospital-owned outpatient department$170$93.33 to $427

How much rates vary

Facilitymedian $170 · 10th to 90th $66 to $589Professionalmedian $48 · 10th to 90th $32 to $87
$20$50$100$200$500facility $170professional $48

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
$107.15
Median
$181.97
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$128.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$66.07
Typical High
$190.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$93.33
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$104.71
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$79.43
Typical High
$120.23
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Select Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Select Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$42.66
Typical High
$87.10

Where Nevada 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.

Nevada· 24th 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.