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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 July 2026.

How much does Automated Urinalysis With Microscopic Exam cost?

$9.12

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $9.12 for this service. The price depends on where it is billed: about $3.16 from a physician practice, and about $44.67 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$2.69 to $5.25
FacilityA hospital or hospital-owned outpatient department$44.67$23.99 to $77.62

How much rates vary

Facilitymedian $45 · 10th to 90th $4 to $100Professionalmedian $3 · 10th to 90th $3 to $9
$0.1$1$10$100$1Kfacility $45professional $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
$4.47
Median
$44.67
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$3.16
Typical High
$9.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$2.19
Typical High
$29.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$5.75
Typical High
$11.22
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.16
Typical High
$6.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$6.31
Typical High
$14.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.51
Typical High
$4.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$5.37
Typical High
$6.46
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$2.75
Typical High
$6.17
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.69
Typical High
$3.02
United
Setting
Facility
Modifier
Global
Typical Low
$1.66
Median
$4.17
Typical High
$6.03
United
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$3.16
Typical High
$4.47
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26

Where North Carolina 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.

North Carolina· 13th of 51

$9.12

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.