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Scoliosis Progression Risk Score From Saliva

South Carolina 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?

$64.57

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $195 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$63.10$51.29 to $64.57
FacilityA hospital or hospital-owned outpatient department$195$79.43 to $251

How much rates vary

Facilitymedian $195 · 10th to 90th $60 to $372Professionalmedian $63 · 10th to 90th $40 to $85
$50$100$200$500facility $195professional $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
$147.91
Median
$251.19
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$64.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$199.53
Typical High
$446.68
Medcost
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$79.43

Where South Carolina 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.

South Carolina· 40th of 51

$64.57

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.