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Scoliosis Progression Risk Score From Saliva

Oregon 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 October 2026.

How much does Scoliosis Progression Risk Score From Saliva cost?

$93.33

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $97.72 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$87.10$79.43 to $129
FacilityA hospital or hospital-owned outpatient department$97.72$83.18 to $158

How much rates vary

Facilitymedian $98 · 10th to 90th $79 to $234Professionalmedian $87 · 10th to 90th $63 to $158
$50$100$200facility $98professional $87

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$354.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$70.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$144.54
Typical High
$245.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$194.98
Typical High
$229.09
Moda Health
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$354.81
Moda Health
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$107.15
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$93.33
Typical High
$158.49
Pacific Source
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$95.50
Typical High
$158.49
Providence
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$128.82
Typical High
$234.42
Providence
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$87.10
Typical High
$109.65
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$158.49
Median
$269.15
Typical High
$354.81
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$67.61
Typical High
$95.50
United
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$95.50

Where Oregon sits

The same service costs 12.6 times more in Texas than in Georgia. 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.

Oregon· 11th of 51

$93.33

TX $398GA $31.62

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.