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Urine Metabolite Index For Pain Assessment

New York 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 $1,479 · 10th–90th $676$2,2910%5%10%10th90th$1,479Professionalmedian $676 · 10th–90th $457$1,2300%20%10th90th$676$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$1,513.56
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$851.14
Typical High
$1,778.28
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,778.28
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$4,073.80
Typical High
$4,073.80
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,380.38
Typical High
$3,235.94
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$1,621.81
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$794.33
Typical High
$954.99
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,584.89
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$1,230.27
Univera
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$977.24
Univera
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$831.76
Typical High
$977.24