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Urine Pregnancy Test

Idaho 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?

$19.95

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $8.51 from a physician practice, and about $38.90 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 7 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$8.51$5.37 to $21.88
FacilityA hospital or hospital-owned outpatient department$38.90$26.92 to $60.26

How much rates vary

Facilitymedian $39 · 10th to 90th $15 to $91Professionalmedian $9 · 10th to 90th $3 to $33
$5.0$20.0$100.0$500.0facility $39professional $9

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
$22.39
Median
$51.29
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$8.51
Typical High
$33.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$25.70
Typical High
$34.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$8.71
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$17.78
Typical High
$33.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$6.46
Typical High
$12.30
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$11.48
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$9.12
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$17.38
Typical High
$30.90
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$7.24
Typical High
$9.12
Select Health
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$16.22
Select Health
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.37
Typical High
$15.49

Where Idaho 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.

Idaho $19.95 · 16th 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.