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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 June 2026.

Facilitymedian $1,000 · 10th–90th $575$3,8020%10%20%10th90th$1,000Professionalmedian $676 · 10th–90th $501$8320%20%10th90th$676$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
$676.08
Median
$2,630.27
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$812.83
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