go back

Automated Urinalysis With Microscopic Exam

New Jersey 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?

$4.27

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $4.27 for this service. The price depends on where it is billed: about $2.75 from a physician practice, and about $18.20 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$2.75$2.45 to $3.31
FacilityA hospital or hospital-owned outpatient department$18.20$6.31 to $64.57

How much rates vary

Facilitymedian $18 · 10th to 90th $4 to $302Professionalmedian $3 · 10th to 90th $2 to $6
$10$100$1K$10Kfacility $18professional $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
$3.63
Median
$19.05
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.75
Typical High
$6.17
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$1.58
Typical High
$2.19
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$35.48
Typical High
$1,513.56
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$4.07
Typical High
$5.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$7.24
Typical High
$14.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$4.07
Typical High
$8.71
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.58
Typical High
$3.55
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.82
Typical High
$3.55
United
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$3.16
Typical High
$6.92
United
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$2.51
Typical High
$70.79

Where New Jersey 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.

New Jersey· 37th of 51

$4.27

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.