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Urine Metabolite Index For Pain Assessment

California 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 July 2026.

Facilitymedian $2,188 · 10th–90th $708$4,3650%10%10th90th$2,188Professionalmedian $708 · 10th–90th $447$1,2300%10%20%10th90th$708$20.0$100.0$500.0$2.0K

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
$933.25
Median
$1,949.84
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$707.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$4,265.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$1,412.54
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,479.11
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,023.29
Typical High
$1,288.25
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$831.76
Typical High
$933.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$831.76
Typical High
$1,479.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$977.24
Typical High
$2,137.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$776.25
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$588.84
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$1,659.59