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Basic Urine Test (Qualitative)

Vermont 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?

$2.75

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $2.75 for this service. The price depends on where it is billed: about $2.75 from a physician practice, and about $12.02 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 5 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$2.75$2.75 to $2.82
FacilityA hospital or hospital-owned outpatient department$12.02$2.19 to $25.70

How much rates vary

Facilitymedian $12 · 10th to 90th $1 to $28Professionalmedian $3 · 10th to 90th $2 to $3
$1.0$2.0$5.0$10.0$20.0facility $12professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$2.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$2.95
Typical High
$3.55
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$2.19
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$1.74
United
Setting
Facility
Modifier
Global
Typical Low
$0.76
Median
$0.76
Typical High
$0.76
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$2.29
Typical High
$5.89

Where Vermont 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.

Vermont $2.75 · 9th 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.