go back

Urinalysis with Microscopic Exam, Manual

Illinois rates for HCPCS 81000

This is a urine test that uses a dipstick or reagent strip to check for things like protein, blood, glucose, and infection markers, combined with a manual look under the microscope at cells, crystals, and other particles in the urine. It is a basic screening test used to help evaluate urinary symptoms, kidney function, or general health.

Rates data updated July 2026.

How much does Urinalysis with Microscopic Exam, Manual cost?

$4.37

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $4.37 for this service. The price depends on where it is billed: about $3.98 from a physician practice, and about $7.41 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.98$3.47 to $5.75
FacilityA hospital or hospital-owned outpatient department$7.41$4.79 to $10.96

How much rates vary

Facilitymedian $7 · 10th to 90th $3 to $23Professionalmedian $4 · 10th to 90th $3 to $7
$5$10$20$50facility $7professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$6.61
Typical High
$17.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$4.47
Typical High
$8.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.00
Typical High
$3.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$11.48
Typical High
$45.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.63
Typical High
$3.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$8.32
Typical High
$17.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$4.47
Typical High
$6.76
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$6.46
Typical High
$40.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$2.19
United
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$3.98
Typical High
$7.94
United
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.16
Typical High
$4.47

Where Illinois sits

The same service costs 2.2 times more in New Hampshire than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 31st of 51

$4.37

NH $6.61FL $3.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.