go back

Urine Metabolite Index For Pain Assessment

New Hampshire 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.

Facilitymedian $2,138 · 10th–90th $1,445$5,3700%10%20%10th90th$2,138Professionalmedian $676 · 10th–90th $457$1,5850%10%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
$2,137.96
Median
$2,137.96
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$707.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,621.81
Typical High
$4,786.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$3,090.30
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,202.26
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,479.11
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$2,818.38