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Urine Metabolite Index For Pain Assessment

Illinois 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 $1,380 · 10th–90th $832$2,5120%10%10th90th$1,380Professionalmedian $708 · 10th–90th $550$1,0470%20%10th90th$708$100.0$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
$870.96
Median
$1,445.44
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$707.95
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,122.02
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,819.70
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,023.29
Typical High
$1,288.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$1,096.48
Typical High
$1,513.56
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$831.76
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$831.76