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Urinalysis, Microscopic Examination

New Jersey 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?

$3.31

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $3.31 for this service. The price depends on where it is billed: about $2.69 from a physician practice, and about $6.76 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$2.69$2.34 to $3.55
FacilityA hospital or hospital-owned outpatient department$6.76$4.57 to $18.20

How much rates vary

Facilitymedian $7 · 10th to 90th $3 to $42Professionalmedian $3 · 10th to 90th $2 to $4
$10$100$1K$10Kfacility $7professional $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
$3.72
Median
$6.46
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.69
Typical High
$3.63
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$1.86
Typical High
$2.14
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$30.20
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$6.46
Typical High
$14.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$2.88
Typical High
$8.71
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.51
Typical High
$3.47
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$11,481.54
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$2.69
Typical High
$3.39
United
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$3.02
Typical High
$6.31
United
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.86
Typical High
$4.27

Where New Jersey 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.

New Jersey· 34th of 51

$3.31

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.