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Urinalysis, Microscopic Examination

Maine 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?

$3.63

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $3.63 for this service. The price depends on where it is billed: about $3.02 from a physician practice, and about $11.22 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 7 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$2.45 to $3.63
FacilityA hospital or hospital-owned outpatient department$11.22$3.02 to $26.30

How much rates vary

Facilitymedian $11 · 10th to 90th $3 to $47Professionalmedian $3 · 10th to 90th $2 to $4
$2$5$10$20$50$100$200facility $11professional $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
$2.95
Median
$7.59
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$3.55
Typical High
$3.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$28.18
Typical High
$30.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$1.82
Typical High
$3.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$4.17
Typical High
$6.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$3.09
Typical High
$4.27
Community Health Options
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.72
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$12.88
Typical High
$48.98
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$3.55
Typical High
$4.57
United
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$3.72
Typical High
$3.72
United
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.16
Typical High
$6.17

Where Maine 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.

Maine· 25th of 51

$3.63

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.