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Automated Urinalysis With Microscopic Exam

North Carolina 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 October 2026.

How much does Automated Urinalysis With Microscopic Exam cost?

$3.02

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $3.02 for this service. The price depends on where it is billed: about $3.02 from a physician practice, and about $4.27 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$3.02$2.45 to $3.72
FacilityA hospital or hospital-owned outpatient department$4.27$2.51 to $7.24

How much rates vary

Facilitymedian $4 · 10th to 90th $3 to $13Professionalmedian $3 · 10th to 90th $2 to $5
$2$5$10$20$50facility $4professional $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
$2.51
Median
$3.02
Typical High
$7.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.51
Median
$2.51
Typical High
$5.13
Ambetter
Setting
Professional
Modifier
None
Typical Low
$1.20
Median
$1.58
Typical High
$79.43
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$7.24
Median
$13.49
Typical High
$13.49
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$2.40
Median
$2.40
Typical High
$3.16
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.24
Median
$7.08
Typical High
$14.45
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.70
Median
$3.47
Typical High
$5.13
Medcost
Setting
Professional
Modifier
None
Typical Low
$2.63
Median
$5.37
Typical High
$6.46
Medcost
Setting
Facility
Modifier
None
Typical Low
$2.45
Median
$2.51
Typical High
$6.61
Medcost
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$4.57
Typical High
$6.31
United
Setting
Professional
Modifier
None
Typical Low
$1.91
Median
$3.09
Typical High
$4.37
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
$1.26
Median
$1.26
Typical High
$1.38
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.51
Median
$0.51
Typical High
$0.55

Where North Carolina sits

The same service costs 22.4 times more in Minnesota 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.

North Carolina· 46th of 51

$3.02

MN $56.23DC $2.51

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.