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Basic Urine Test (Qualitative)

New York 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 New York, July 2026.

Insurers have agreed to pay about $2.19 for this service. The price depends on where it is billed: about $1.74 from a physician practice, and about $3.72 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 9 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$1.74$1.62 to $2.51
FacilityA hospital or hospital-owned outpatient department$3.72$2.24 to $5.13

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $6Professionalmedian $2 · 10th to 90th $1 to $4
$1.0$10.0$100.0$1.0K$10.0Kfacility $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
$1.82
Median
$3.80
Typical High
$6.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$1.78
Typical High
$3.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$5.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.32
Typical High
$5.01
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$2.19
Typical High
$2.19
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$2.19
Typical High
$2.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.14
Median
$4.57
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$3.09
Typical High
$13.49
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$2.19
Typical High
$4.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$1.51
Typical High
$4.17
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.19
Typical High
$2.63
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$4.37
Typical High
$257.04
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$3.09
Typical High
$4.47
United
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$2.57
Typical High
$3.24
United
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.82
Typical High
$4.90
Univera
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$2.51
Typical High
$5.50
Univera
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.29
Typical High
$6.61

Where New York 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.

New York $2.19 · 37th 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.