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Automated Urinalysis With Microscopic Exam

Illinois rates for HCPCS 81001

A urine test that uses an automated instrument to read a chemical test strip for substances like sugar, protein, and blood, combined with a microscopic examination of the urine sample to look directly for cells, crystals, or other particles. It provides a more complete picture than the strip test alone.

Rates data updated July 2026.

How much does Automated Urinalysis With Microscopic Exam cost?

$14.13

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $3.16 from a physician practice, and about $57.54 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$3.16$2.75 to $5.13
FacilityA hospital or hospital-owned outpatient department$57.54$9.77 to $83.18

How much rates vary

Facilitymedian $58 · 10th to 90th $5 to $105Professionalmedian $3 · 10th to 90th $3 to $11
$2$10$50$200$1Kfacility $58professional $3

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
$5.01
Median
$60.26
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$3.16
Typical High
$12.59
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.95
Typical High
$3.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$11.22
Typical High
$42.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$7.59
Typical High
$14.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$3.72
Typical High
$5.89
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$6.17
Typical High
$114.82
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
$4.07
Median
$4.07
Typical High
$4.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$1.74
United
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$3.16
Typical High
$6.31
United
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.95
Typical High
$4.47

Where Illinois sits

The same service costs 18.6 times more in West Virginia than in Vermont. 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· 8th of 51

$14.13

WV $51.29VT $2.75

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.