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Urine Metabolite Index For Pain Assessment

Massachusetts 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 $1,445 · 10th–90th $589$3,5480%10%10th90th$1,445Professionalmedian $832 · 10th–90th $501$1,6980%20%40%10th90th$832$100.0$500.0$2.0K$10.0K$50.0K

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
$588.84
Median
$1,445.44
Typical High
$2,454.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$588.84
Typical High
$794.33
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$616.60
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,023.29
Typical High
$1,288.25
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,412.54
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,819.70
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$2,290.87