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Urine Metabolite Index For Pain Assessment

Rhode Island 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 June 2026.

Facilitymedian $3,802 · 10th–90th $1,820$3,8020%50%10th$3,802Professionalmedian $589 · 10th–90th $550$6170%50%10th90th$589$0.0$0.2$2.0$20.0$200.0$2.0K

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
$2,398.83
Median
$3,801.89
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$588.84
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$1,778.28
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$831.76
Typical High
$1,202.26