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Urinalysis with Microscopic Exam, Manual

Massachusetts 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?

$4.47

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $4.47 for this service. The price depends on where it is billed: about $3.98 from a physician practice, and about $7.94 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 8 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$3.89 to $7.08
FacilityA hospital or hospital-owned outpatient department$7.94$5.50 to $11.22

How much rates vary

Facilitymedian $8 · 10th to 90th $3 to $16Professionalmedian $4 · 10th to 90th $3 to $13
$10$100$1Kfacility $8professional $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
$3.98
Median
$8.51
Typical High
$16.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.27
Typical High
$14.13
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$4.57
Typical High
$100.00
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$3.98
Typical High
$9.77
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$7.94
Typical High
$12.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$4.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$5.25
Typical High
$8.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$4.57
Typical High
$6.76
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$25.12
Typical High
$7,079.46
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$6.61
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$9.55
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$4.57
Typical High
$100.00
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$3.98
Typical High
$9.77
United
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$3.98
Typical High
$5.13
United
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.98
Typical High
$9.12

Where Massachusetts 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.

Massachusetts· 26th of 51

$4.47

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.