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Urine Metabolite Index For Pain Assessment

Idaho 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 $1,479 · 10th–90th $832$2,5700%20%10th90th$1,479Professionalmedian $794 · 10th–90th $676$1,6220%20%40%10th90th$794$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
$1,513.56
Median
$1,513.56
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$794.33
Typical High
$1,621.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,479.11
Typical High
$3,019.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$812.83
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,737.80
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$954.99
Typical High
$1,202.26
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,174.90
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,000.00
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,621.81
Typical High
$3,019.95
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$707.95
Typical High
$891.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$831.76