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Urine Metabolite Index For Pain Assessment

Arkansas rates for HCPCS 0117U

Helps assess someone with chronic pain by measuring chemical by-products of the body's metabolism in urine. Eleven substances are measured by mass spectrometry, among them methylmalonic acid, homocysteine, quinolinic acid and kynurenic acid, and they are combined into a single overall index.

Rates data updated June 2026.

Facilitymedian $1,047 · 10th–90th $955$1,4790%20%10th90th$1,047Professionalmedian $794 · 10th–90th $525$1,0470%10%20%10th90th$794$500.0$1.0K

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
$1,047.13
Median
$1,047.13
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$1,047.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,288.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,096.48
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$851.14