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Urine Metabolite Index For Pain Assessment

Minnesota 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 $2,239 · 10th–90th $832$6,1660%20%10th90th$2,239Professionalmedian $832 · 10th–90th $676$1,1480%20%40%10th90th$832$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
$794.33
Median
$794.33
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$831.76
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,884.03
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,230.27
Typical High
$1,737.80
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,691.53
Typical High
$6,165.95
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,621.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,288.25
Typical High
$3,981.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$977.24
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$831.76
Typical High
$1,862.09