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Urine Metabolite Index For Pain Assessment

Iowa 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 $1,318 · 10th–90th $646$2,4550%10%20%10th90th$1,318Professionalmedian $646 · 10th–90th $501$1,8200%20%10th90th$646$200.0$500.0$1.0K$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
$645.65
Median
$1,995.26
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,621.81
Typical High
$1,995.26
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$1,047.13
Typical High
$1,513.56
Medica
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,000.00
Typical High
$2,238.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$1,949.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$1,819.70
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$831.76