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Urine Pregnancy Test

Delaware 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 October 2026.

How much does Urine Pregnancy Test cost?

$8.91

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $8.91 for this service. The price depends on where it is billed: about $7.08 from a physician practice, and about $41.69 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.08$6.46 to $10.00
FacilityA hospital or hospital-owned outpatient department$41.69$8.91 to $60.26

How much rates vary

Facilitymedian $42 · 10th to 90th $7 to $186Professionalmedian $7 · 10th to 90th $4 to $13
$5$10$20$50$100$200facility $42professional $7

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$7.08
Median
$7.08
Typical High
$18.62
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.27
Median
$6.92
Typical High
$12.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.62
Median
$5.62
Typical High
$12.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.57
Median
$10.00
Typical High
$41.69
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$22.91
Median
$60.26
Typical High
$213.80
United
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$6.92
Typical High
$8.91
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Highmark BCBS
Setting
Professional
Modifier
59 · Distinct service + QW · Waived lab test + SA · Nurse practitioner
Typical Low
$6.46
Median
$6.46
Typical High
$6.46

Where Delaware sits

The same service costs 15.8 times more in Minnesota than in Alabama. 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.

Delaware· 22nd of 51

$8.91

MN $67.61AL $4.27

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.