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Urinalysis, Microscopic Examination

North Carolina 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 North Carolina, 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 $8.71 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 8 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 $5.01
FacilityA hospital or hospital-owned outpatient department$8.71$2.95 to $45.71

How much rates vary

Facilitymedian $9 · 10th to 90th $3 to $52Professionalmedian $3 · 10th to 90th $2 to $9
$2$5$10$20$50$100$200facility $9professional $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
$10.23
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$3.02
Typical High
$8.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.14
Typical High
$21.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$9.55
Typical High
$13.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.75
Typical High
$3.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$5.62
Typical High
$13.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$2.14
Typical High
$4.68
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$5.13
Typical High
$9.55
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$2.75
Typical High
$5.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$3.24
Typical High
$3.55
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
United
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$3.80
Typical High
$5.37
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$2.95
Typical High
$4.27
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$100.00

Where North Carolina 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.

North Carolina· 24th 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.