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Urinalysis with Microscopic Exam, Manual

South Carolina 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?

$5.01

Typical negotiated rate. In South Carolina, October 2026.

Insurers have agreed to pay about $5.01 for this service. The price depends on where it is billed: about $5.01 from a physician practice, and about $12.59 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.01$3.98 to $7.94
FacilityA hospital or hospital-owned outpatient department$12.59$7.59 to $25.12

How much rates vary

Facilitymedian $13 · 10th to 90th $4 to $35Professionalmedian $5 · 10th to 90th $3 to $9
$2$5$10$20$50facility $13professional $5

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
$3.16
Median
$3.16
Typical High
$6.61
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.16
Median
$3.16
Typical High
$5.01
Ambetter
Setting
Professional
Modifier
None
Typical Low
$2.00
Median
$3.98
Typical High
$4.47
BCBS
Setting
Facility
Modifier
None
Typical Low
$5.37
Median
$12.59
Typical High
$36.31
BCBS
Setting
Professional
Modifier
None
Typical Low
$3.98
Median
$5.01
Typical High
$10.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.59
Median
$10.23
Typical High
$23.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.86
Median
$2.45
Typical High
$4.90
Medcost
Setting
Facility
Modifier
None
Typical Low
$2.82
Median
$3.98
Typical High
$5.37
Medcost
Setting
Professional
Modifier
None
Typical Low
$3.02
Median
$6.03
Typical High
$11.22
United
Setting
Facility
Modifier
None
Typical Low
$3.63
Median
$3.63
Typical High
$4.79
United
Setting
Professional
Modifier
None
Typical Low
$2.40
Median
$3.24
Typical High
$4.47
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.58
Median
$1.58
Typical High
$1.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.63
Median
$0.63
Typical High
$0.65

Where South Carolina 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.

South Carolina· 10th of 51

$5.01

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.