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Urine Metabolite Index For Pain Assessment

Tennessee 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 $759 · 10th–90th $417$3,9810%20%10th90th$759Professionalmedian $661 · 10th–90th $562$8320%50%10th90th$661$200.0$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
$630.96
Median
$660.69
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$660.69
Typical High
$812.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,230.27
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,023.29
Typical High
$1,288.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$758.58
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$831.76