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Urinalysis, Microscopic Examination

Kentucky 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?

$2.75

Typical negotiated rate. In Kentucky, 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 $6.46 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$2.75$2.40 to $3.31
FacilityA hospital or hospital-owned outpatient department$6.46$2.63 to $22.91

How much rates vary

Facilitymedian $6 · 10th to 90th $3 to $36Professionalmedian $3 · 10th to 90th $2 to $4
$2$5$10$20$50facility $6professional $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
$2.51
Median
$7.59
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$2.75
Typical High
$3.63
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$1.86
Typical High
$2.57
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$3.02
Typical High
$3.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$2.24
Typical High
$4.17
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$4.07
Typical High
$4.27
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.72
Typical High
$5.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$5.13
Typical High
$6.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$19.05
Typical High
$19.05
United
Setting
Facility
Modifier
Global
Typical Low
$1.05
Median
$3.02
Typical High
$3.72
United
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$4.17
Typical High
$4.47

Where Kentucky 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.

Kentucky· 47th of 51

$2.75

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.