go back

Scoliosis Progression Risk Score From Saliva

Virginia 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 June 2026.

Facilitymedian $151 · 10th–90th $59$3090%10%20%10th90th$151Professionalmedian $55 · 10th–90th $32$790%10%10th90th$55$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$165.96
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$58.88
Typical High
$93.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$52.48
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$66.07
Typical High
$74.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$194.98
Typical High
$407.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$109.65
Medcost
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$134.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$165.96
Sentara
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$97.72
Typical High
$154.88
Sentara
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$97.72
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$39.81
Typical High
$87.10