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Urinalysis, Microscopic Examination

Illinois rates for HCPCS 81015

This laboratory test examines a urine sample under a microscope to look for cells, crystals, bacteria, or other particles that can indicate a urinary tract or kidney problem. It is often performed as a follow-up to a basic urine screening test.

Rates data updated July 2026.

How much does Urinalysis, Microscopic Examination cost?

$5.13

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $5.13 for this service. The price depends on where it is billed: about $3.02 from a physician practice, and about $22.39 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$3.02$2.75 to $3.63
FacilityA hospital or hospital-owned outpatient department$22.39$5.01 to $66.07

How much rates vary

Facilitymedian $22 · 10th to 90th $3 to $79Professionalmedian $3 · 10th to 90th $2 to $6
$2$5$10$20$50$100facility $22professional $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
$3.47
Median
$35.48
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$3.02
Typical High
$6.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.86
Typical High
$4.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$4.07
Typical High
$25.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$3.02
Typical High
$3.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$6.76
Typical High
$13.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$3.39
Typical High
$5.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$5.89
Typical High
$44.67
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
United
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$3.02
Typical High
$6.17
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$2.57
Typical High
$4.27

Where Illinois sits

The same service costs 13.8 times more in West Virginia 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.

Illinois· 6th of 51

$5.13

WV $31.62DC $2.29

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.