go back

Urinalysis with Microscopic Exam, Manual

Pennsylvania 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 October 2026.

How much does Urinalysis with Microscopic Exam, Manual cost?

$3.98

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $3.98 for this service. The price depends on where it is billed: about $3.39 from a physician practice, and about $8.91 from a hospital or other facility.

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 12 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.39$3.16 to $4.27
FacilityA hospital or hospital-owned outpatient department$8.91$4.79 to $15.85

How much rates vary

Facilitymedian $9 · 10th to 90th $3 to $23Professionalmedian $3 · 10th to 90th $2 to $6
$10$100$1Kfacility $9professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3.24
Median
$3.98
Typical High
$11.75
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.95
Median
$3.39
Typical High
$6.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.58
Median
$1.62
Typical High
$1.70
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.63
Median
$0.65
Typical High
$0.68
Ambetter
Setting
Professional
Modifier
None
Typical Low
$1.70
Median
$2.00
Typical High
$4.90
AmeriHealth
Setting
Facility
Modifier
None
Typical Low
$6.31
Median
$15.49
Typical High
$169.82
AmeriHealth
Setting
Professional
Modifier
None
Typical Low
$2.63
Median
$2.63
Typical High
$2.63
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$23.44
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$3.16
Median
$3.16
Typical High
$7.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.82
Median
$5.89
Typical High
$12.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.04
Median
$3.80
Typical High
$6.46
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$1.91
Median
$1.91
Typical High
$5.75
Geisinger
Setting
Facility
Modifier
None
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Geisinger
Setting
Professional
Modifier
None
Typical Low
$3.09
Median
$3.89
Typical High
$6.03
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$7.08
Median
$16.60
Typical High
$27.54
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$2.40
Median
$2.40
Typical High
$2.40
Independence Blue Cross
Setting
Facility
Modifier
None
Typical Low
$7.24
Median
$14.79
Typical High
$31.62
Independence Blue Cross
Setting
Professional
Modifier
None
Typical Low
$2.24
Median
$2.63
Typical High
$2.69
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$3.24
Median
$3.39
Typical High
$10.00
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$3.16
Median
$3.39
Typical High
$6.03
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.62
Median
$1.62
Typical High
$1.70
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.65
Median
$0.65
Typical High
$0.68
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$3.98
Median
$7.24
Typical High
$10.00
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.98
Typical High
$4.47
United
Setting
Facility
Modifier
None
Typical Low
$3.63
Median
$4.79
Typical High
$8.91
United
Setting
Professional
Modifier
None
Typical Low
$2.40
Median
$3.98
Typical High
$6.03

Where Pennsylvania sits

The same service costs 2.8 times more in Alaska than in Washington, DC. 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.

Pennsylvania· 28th of 51

$3.98

AK $9.12DC $3.24

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.