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Urine Metabolite Index For Pain Assessment

New Jersey 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 $1,413 · 10th–90th $832$7,2440%10%20%10th90th$1,413Professionalmedian $661 · 10th–90th $447$9770%20%10th90th$661$100.0$500.0$2.0K$10.0K

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
$1,071.52
Median
$1,122.02
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,862.09
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,023.29
Typical High
$1,288.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$398.11
Typical High
$501.19
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$549.54
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$831.76
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$501.19
Typical High
$831.76