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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 July 2026.

How much does Scoliosis Progression Risk Score From Saliva cost?

$58.88

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $151 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$52.48$31.62 to $67.61
FacilityA hospital or hospital-owned outpatient department$151$79.43 to $195

How much rates vary

Facilitymedian $151 · 10th to 90th $68 to $309Professionalmedian $52 · 10th to 90th $32 to $79
$50$100$200facility $151professional $52

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
$67.61
Median
$173.78
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$67.61
Typical High
$151.36
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
$67.61
Typical High
$79.43
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
$95.50
Median
$95.50
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$39.81
Typical High
$91.20

Where Virginia 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.

Virginia· 45th of 51

$58.88

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.