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Urinalysis, Microscopic Examination

South Dakota 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?

$18.62

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $18.62 for this service. The price depends on where it is billed: about $7.41 from a physician practice, and about $30.20 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$7.41$3.02 to $26.92
FacilityA hospital or hospital-owned outpatient department$30.20$18.62 to $38.02

How much rates vary

Facilitymedian $30 · 10th to 90th $5 to $49Professionalmedian $7 · 10th to 90th $3 to $31
$2$5$10$20$50$100$200facility $30professional $7

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
$17.78
Median
$30.20
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$20.89
Typical High
$32.36
Avera
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$3.09
Typical High
$4.57
Avera
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$3.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$5.50
Typical High
$6.92
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$4.90
Typical High
$13.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$3.31
Typical High
$4.27
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$7.41
Typical High
$8.32
United
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$3.31
Typical High
$4.27
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.02

Where South Dakota 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.

South Dakota· 2nd of 51

$18.62

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.