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Basic Urine Test (Qualitative)

Tennessee 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?

$1.74

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $1.74 for this service. The price depends on where it is billed: about $1.70 from a physician practice, and about $3.31 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$1.70$1.62 to $2.40
FacilityA hospital or hospital-owned outpatient department$3.31$1.95 to $7.94

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $30Professionalmedian $2 · 10th to 90th $2 to $3
$0.5$2.0$10.0$50.0facility $3professional $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
$1.62
Median
$3.31
Typical High
$9.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$1.70
Typical High
$2.57
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$3.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.95
Typical High
$2.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$4.79
Typical High
$8.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.66
Typical High
$3.09
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$0.91
Median
$2.19
Typical High
$2.19
United
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$2.19
Typical High
$3.02

Where Tennessee 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.

Tennessee $1.74 · 50th 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.