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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 July 2026.

How much does Urine Pregnancy Test cost?

$14.79

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $14.79 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $91.20 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 4 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$11.22$6.76 to $16.22
FacilityA hospital or hospital-owned outpatient department$91.20$10.00 to $97.72

How much rates vary

Facilitymedian $91 · 10th to 90th $7 to $195Professionalmedian $11 · 10th to 90th $3 to $17
$5$10$20$50$100$200$500facility $91professional $11

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
$7.08
Median
$91.20
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$11.22
Typical High
$16.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$5.75
Typical High
$12.30
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$48.98
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$8.71
Typical High
$12.88

Where Delaware sits

The same service costs 4.9 times more in Florida than in Montana. 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· 26th of 51

$14.79

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.