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Scoliosis Progression Risk Score From Saliva

Ohio 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?

$63.10

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $63.10 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $135 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 8 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$63.10$38.90 to $74.13
FacilityA hospital or hospital-owned outpatient department$135$79.43 to $174

How much rates vary

Facilitymedian $135 · 10th to 90th $74 to $191Professionalmedian $63 · 10th to 90th $35 to $120
$50$100$200$500facility $135professional $63

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
$66.07
Median
$134.90
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$63.10
Typical High
$141.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$42.66
Typical High
$97.72
CareSource
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$1,096.48
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$1,230.27
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$102.33
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$102.33
Typical High
$380.19
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$104.71
Typical High
$436.52
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Molina
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$91.20

Where Ohio 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.

Ohio· 41st of 51

$63.10

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.