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Basic Urine Test (Qualitative)

Iowa rates for HCPCS 81005

This is a general urine test that checks for the presence of various substances using simple chemical methods, without using antibody-based testing techniques. It provides a quick check for things like sugar, protein, or blood in the urine.

Rates data updated July 2026.

How much does Basic Urine Test (Qualitative) cost?

$3.80

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $3.80 for this service. The price depends on where it is billed: about $3.80 from a physician practice, and about $3.89 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$3.80$2.19 to $13.49
FacilityA hospital or hospital-owned outpatient department$3.89$2.19 to $5.75

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $6Professionalmedian $4 · 10th to 90th $2 to $14
$2$5$10$20$50$100facility $4professional $4

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
$1.66
Median
$5.13
Typical High
$6.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$3.80
Typical High
$14.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$4.17
Typical High
$5.13
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$5.25
Typical High
$12.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.82
Typical High
$6.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$3.02
Typical High
$5.62
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$2.69
Typical High
$37.15
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$2.63
United
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$4.79
United
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.29
Typical High
$5.01
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.19
Typical High
$2.19

Where Iowa sits

The same service costs 2.4 times more in Hawaii 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.

Iowa· 2nd of 51

$3.80

HI $3.89DC $1.62

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.