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Urine Metabolite Index For Pain Assessment

Louisiana 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 $1,148 · 10th–90th $832$3,0900%10%10th90th$1,148Professionalmedian $933 · 10th–90th $355$1,2590%20%10th90th$933$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
$891.25
Median
$1,148.15
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,000.00
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,659.59
Typical High
$2,630.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$288.40
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,621.81
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$758.58
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$416.87
Typical High
$891.25