go back

Urine Metabolite Index For Pain Assessment

Michigan 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 $794 · 10th–90th $794$1,4790%50%90th$794Professionalmedian $708 · 10th–90th $562$1,0000%20%10th90th$708$200.0$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
$794.33
Median
$794.33
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$588.84
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$954.99
Typical High
$1,288.25
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,995.26
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$831.76
Typical High
$1,148.15
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$831.76