go back

Urinalysis, Microscopic Examination

Vermont 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?

$3.02

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $3.02 for this service. The price depends on where it is billed: about $2.75 from a physician practice, and about $34.67 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 5 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$2.75$2.69 to $3.63
FacilityA hospital or hospital-owned outpatient department$34.67$22.39 to $47.86

How much rates vary

Facilitymedian $35 · 10th to 90th $3 to $52Professionalmedian $3 · 10th to 90th $2 to $5
$1$2$5$10$20$50facility $35professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.75
Typical High
$5.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$30.90
Typical High
$52.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$34.67
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$4.17
Typical High
$5.37
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.45
Typical High
$2.45
United
Setting
Facility
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$1.07
United
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$3.98
Typical High
$8.32

Where Vermont 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.

Vermont· 40th of 51

$3.02

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.