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Urine Metabolite Index For Pain Assessment

North Dakota 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 $603 · 10th–90th $589$1,5140%50%10th90th$603Professionalmedian $1,413 · 10th–90th $589$1,9050%10%20%10th90th$1,413$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
$588.84
Median
$588.84
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$794.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,698.24
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,000.00
Typical High
$3,981.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$426.58
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$831.76
Typical High
$1,230.27