go back

Urine Metabolite Index For Pain Assessment

South Carolina 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 $2,089 · 10th–90th $661$3,9810%10%20%10th90th$2,089Professionalmedian $661 · 10th–90th $661$7240%50%90th$661$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
$660.69
Median
$2,089.30
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$676.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$891.25
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,754.23
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,202.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$831.76
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$1,000.00