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Basic Urine Test (Qualitative)

Maine 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?

$2.19

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $2.19 for this service. The price depends on where it is billed: about $2.19 from a physician practice, and about $3.55 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 6 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$2.19$1.78 to $2.57
FacilityA hospital or hospital-owned outpatient department$3.55$2.19 to $9.77

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $20Professionalmedian $2 · 10th to 90th $1 to $3
$1.0$2.0$5.0$10.0$20.0facility $4professional $2

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
$2.19
Median
$2.19
Typical High
$9.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$2.51
Typical High
$2.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$20.42
Typical High
$21.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.23
Typical High
$2.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$2.95
Typical High
$4.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$2.29
Typical High
$3.09
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$2.63
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$9.77
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$2.51
Typical High
$3.02
United
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$2.63
United
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.24
Typical High
$4.47

Where Maine sits

The same service costs 2.4 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $2.19 · 39th of 51
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.