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Scoliosis Progression Risk Score From Saliva

Tennessee 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 Tennessee, 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 $120 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$58.88 to $79.43
FacilityA hospital or hospital-owned outpatient department$120$64.57 to $263

How much rates vary

Facilitymedian $120 · 10th to 90th $59 to $282Professionalmedian $63 · 10th to 90th $41 to $95
$20$50$100$200$500facility $120professional $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
$58.88
Median
$120.23
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$63.10
Typical High
$75.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$141.25
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$79.43

Where Tennessee 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.

Tennessee· 39th 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.