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Urine Metabolite Index For Pain Assessment

North Carolina 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.

How much does Urine Metabolite Index For Pain Assessment cost?

$676

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $832 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$676$603 to $676
FacilityA hospital or hospital-owned outpatient department$832$676 to $2,630

How much rates vary

Facilitymedian $832 · 10th to 90th $603 to $3,802Professionalmedian $676 · 10th to 90th $501 to $832
$500$1K$2Kfacility $832professional $676

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,479.11
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$676.08
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,778.28
Typical High
$2,691.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,819.70
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,023.29
Typical High
$1,288.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$676.08
Typical High
$891.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$831.76
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$416.87
Typical High
$831.76
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07

Where North Carolina sits

The same service costs 2.3 times more in North Dakota than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 43rd of 51

$676

ND $1,288NE $550

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.