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Urine Metabolite Index For Pain Assessment

Washington 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 $933 · 10th–90th $832$2,9510%20%40%10th90th$933Professionalmedian $776 · 10th–90th $355$8320%20%10th90th$776$50.0$100.0$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
$794.33
Median
$1,905.46
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,047.13
Typical High
$2,290.87
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,778.28
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,202.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,000.00
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,348.96
Typical High
$2,630.27
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,047.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,258.93
Typical High
$2,290.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,000.00
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$831.76
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$436.52
Typical High
$1,513.56