go back

Automated Urinalysis With Microscopic Exam

Vermont 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?

$2.75

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $2.75 for this service. The price depends on where it is billed: about $2.75 from a physician practice, and about $53.70 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 5 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$2.69 to $3.16
FacilityA hospital or hospital-owned outpatient department$53.70$9.33 to $75.86

How much rates vary

Facilitymedian $54 · 10th to 90th $3 to $112Professionalmedian $3 · 10th to 90th $2 to $5
$2$5$10$20$50$100facility $54professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$75.86
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.75
Typical High
$5.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$56.23
Typical High
$63.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$38.02
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.37
Typical High
$5.37
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.16
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
United
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.12
Typical High
$1.12
United
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$4.47
Typical High
$8.51

Where Vermont 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.

Vermont· 51st of 51

$2.75

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.