go back

Urine Pregnancy Test

Florida 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?

$41.69

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $6.46 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 8 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$5.89 to $10.23
FacilityA hospital or hospital-owned outpatient department$91.20$38.90 to $151

How much rates vary

Facilitymedian $91 · 10th to 90th $17 to $282Professionalmedian $6 · 10th to 90th $5 to $42
$1.0$10.0$100.0$1.0K$10.0Kfacility $91professional $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
$22.91
Median
$91.20
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.61
Typical High
$41.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.27
Typical High
$12.88
AvMed
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$8.71
Typical High
$10.00
AvMed
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.71
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$7.76
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$7.59
Typical High
$15.49
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$15.85
Typical High
$48.98
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$8.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$4.17
Typical High
$5.13
United
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$7.76
Typical High
$8.71
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.13
Typical High
$11.48
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$8.13

Where Florida 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.

Florida $41.69 · 1st 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.