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Urine Metabolite Index For Pain Assessment

Kansas 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 $1,349 · 10th–90th $589$1,9950%10%10th90th$1,349Professionalmedian $724 · 10th–90th $550$1,0470%20%10th90th$724$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
$891.25
Median
$1,479.11
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$724.44
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,096.48
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$977.24
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$691.83
Typical High
$1,479.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$831.76
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$1,348.96