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Urine Pregnancy Test

Maine 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?

$11.75

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $11.75 for this service. The price depends on where it is billed: about $6.92 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$6.92$6.61 to $8.71
FacilityA hospital or hospital-owned outpatient department$38.90$17.38 to $64.57

How much rates vary

Facilitymedian $39 · 10th to 90th $9 to $79Professionalmedian $7 · 10th to 90th $3 to $12
$2.0$10.0$50.0$200.0facility $39professional $7

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
$8.71
Median
$38.90
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$6.92
Typical High
$11.75
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$58.88
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$5.13
Typical High
$8.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$8.91
Typical High
$19.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$8.91
Typical High
$10.72
Community Health Options
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$354.81
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$10.47
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$48.98
Typical High
$87.10
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.92
Typical High
$12.59
United
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$15.14

Where Maine 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.

Maine $11.75 · 37th 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.