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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 July 2026.

How much does Basic Urine Test (Qualitative) cost?

$2.57

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2.57 for this service. The price depends on where it is billed: about $2.57 from a physician practice, and about $3.02 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$2.57$1.74 to $3.02
FacilityA hospital or hospital-owned outpatient department$3.02$1.91 to $23.44

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $32Professionalmedian $3 · 10th to 90th $2 to $3
$1.0$5.0$20.0$100.0$500.0facility $3professional $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
$1.74
Median
$3.02
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.57
Typical High
$3.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1.10
Median
$1.10
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$9.33
Typical High
$9.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.98
Median
$1.95
Typical High
$2.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$4.37
Typical High
$9.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.58
Typical High
$3.47
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$3.72
Typical High
$9.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$1.95
Typical High
$4.27
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.69
Typical High
$3.02
United
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$2.75
Typical High
$3.80
United
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$2.14
Typical High
$3.02
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$100.00

Where North Carolina 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.

North Carolina $2.57 · 26th 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.