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Urine Metabolite Index For Pain Assessment

Georgia 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 $1,122 · 10th–90th $676$1,7780%20%10th90th$1,122Professionalmedian $724 · 10th–90th $513$8510%20%10th90th$724$200.0$500.0$1.0K$2.0K$5.0K

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
$562.34
Median
$758.58
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$660.69
Typical High
$794.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,122.02
Typical High
$1,778.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,862.09
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,023.29
Typical High
$1,288.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$977.24
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$831.76