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Urinalysis, Microscopic Examination

Montana 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?

$4.07

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $4.07 for this service. The price depends on where it is billed: about $4.07 from a physician practice, and about $5.37 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$4.07$3.63 to $4.57
FacilityA hospital or hospital-owned outpatient department$5.37$4.07 to $22.91

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $52Professionalmedian $4 · 10th to 90th $4 to $19
$10$100$1K$10K$100Kfacility $5professional $4

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
$15.85
Median
$28.18
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.98
Typical High
$19.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$22.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$5.25
Typical High
$17.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$3.31
Typical High
$4.47
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$4.27
Typical High
$9.33
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.27
Typical High
$9.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$5.89
Typical High
$17.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$4.47
United
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$2.45
Typical High
$4.27

Where Montana 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.

Montana· 14th of 51

$4.07

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.