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Urine Pregnancy Test

Washington, DC rates for HCPCS 81025

A urine test that checks for the presence of a pregnancy hormone using a simple visual color-change method, similar to an over-the-counter home pregnancy test. It gives a quick yes-or-no result rather than a precise hormone level.

Rates data updated July 2026.

How much does Urine Pregnancy Test cost?

$19.50

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $19.50 for this service. The price depends on where it is billed: about $6.46 from a physician practice, and about $50.12 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$6.46$6.46 to $6.46
FacilityA hospital or hospital-owned outpatient department$50.12$19.50 to $74.13

How much rates vary

Facilitymedian $50 · 10th to 90th $10 to $141Professionalmedian $6 · 10th to 90th $6 to $22
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $50professional $6

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
$15.49
Median
$50.12
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$32.36
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.45
Typical High
$32.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$10.47
Typical High
$67.61
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$10.23
Typical High
$10.23
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.50
Typical High
$10.96

Where Washington, DC sits

The same service costs 4.9 times more in Florida than in Montana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington, DC $19.50 · 17th of 51
FL $41.69MT $8.51

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.