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Urine Metabolite Index For Pain Assessment

Ohio 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 $1,230 · 10th–90th $708$1,9950%10%10th90th$1,230Professionalmedian $851 · 10th–90th $575$1,4450%20%10th90th$851$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
$794.33
Median
$1,445.44
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,621.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$1,348.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$13,182.57
Typical High
$23,442.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,047.13
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,096.48
Typical High
$4,073.80
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,096.48
Typical High
$3,467.37
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$1,479.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$891.25
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$831.76
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$891.25