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Urine Metabolite Index For Pain Assessment

Pennsylvania 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 $1,622 · 10th–90th $708$3,0200%5%10%10th90th$1,622Professionalmedian $676 · 10th–90th $501$8320%20%40%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
$707.95
Median
$1,621.81
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$794.33
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,288.25
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,202.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$1,230.27
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$831.76
Typical High
$1,445.44
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,778.28
Typical High
$3,019.95
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$2,454.71
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$831.76
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$831.76
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$524.81
Typical High
$1,258.93