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Basic Urine Test (Qualitative)

North Carolina 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 October 2026.

How much does Basic Urine Test (Qualitative) cost?

$2.04

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $2.04 for this service. The price depends on where it is billed: about $2.04 from a physician practice, and about $2.29 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.04$1.74 to $2.45
FacilityA hospital or hospital-owned outpatient department$2.29$1.74 to $4.79

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $10Professionalmedian $2 · 10th to 90th $1 to $3
$1$2$5$10facility $2professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1.74
Median
$1.74
Typical High
$5.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.74
Median
$1.74
Typical High
$2.57
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.87
Median
$0.87
Typical High
$0.93
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.35
Median
$0.35
Typical High
$0.37
Ambetter
Setting
Professional
Modifier
None
Typical Low
$1.10
Median
$1.10
Typical High
$1.10
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$4.79
Median
$4.90
Typical High
$9.55
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$0.98
Median
$1.74
Typical High
$2.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$1.51
Median
$4.90
Typical High
$9.77
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.17
Median
$1.51
Typical High
$3.55
Medcost
Setting
Professional
Modifier
None
Typical Low
$1.82
Median
$3.72
Typical High
$9.33
Medcost
Setting
Facility
Modifier
None
Typical Low
$1.70
Median
$1.74
Typical High
$4.57
Medcost
Setting
Professional
Modifier
None
Typical Low
$1.74
Median
$3.09
Typical High
$7.08
Oscar Health
Setting
Facility
Modifier
None
Typical Low
$1.70
Median
$1.70
Typical High
$1.70
United
Setting
Professional
Modifier
None
Typical Low
$1.29
Median
$2.14
Typical High
$2.95

Where North Carolina sits

The same service costs 3.2 times more in Kansas 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.

North Carolina· 44th of 51

$2.04

KS $5.62DC $1.74

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.