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Basic Urine Test (Qualitative)

Virginia 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?

$2.04

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $2.04 for this service. The price depends on where it is billed: about $1.74 from a physician practice, and about $2.63 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 8 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$2.63$2.19 to $6.03

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $13Professionalmedian $2 · 10th to 90th $1 to $6
$1$10$100$1K$10Kfacility $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
$2.04
Median
$5.37
Typical High
$12.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$1.74
Typical High
$5.75
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$8.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$1.66
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$10.23
Typical High
$13.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$5.75
Typical High
$10.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.55
Typical High
$3.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.57
Typical High
$3.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$3.63
Typical High
$4.27
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$2.04
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.40
Typical High
$4.57
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$3.55
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$3.72
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$0.91
Median
$2.19
Typical High
$3.72
United
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.86
Typical High
$3.02

Where Virginia sits

The same service costs 2.4 times more in Hawaii 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.

Virginia· 42nd of 51

$2.04

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.