go back

Urine Pregnancy Test

New Jersey 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?

$12.30

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $8.51 from a physician practice, and about $26.30 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$5.75 to $17.78
FacilityA hospital or hospital-owned outpatient department$26.30$10.47 to $61.66

How much rates vary

Facilitymedian $26 · 10th to 90th $8 to $98Professionalmedian $9 · 10th to 90th $5 to $22
$10.0$100.0$1.0K$10.0Kfacility $26professional $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
$7.94
Median
$26.30
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$8.51
Typical High
$21.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.25
Typical High
$13.80
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$63.10
Typical High
$346.74
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$10.00
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$18.62
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$8.13
Typical High
$17.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$4.27
Typical High
$7.24
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$11,481.54
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$7.08
Typical High
$7.59
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$8.71
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.13
Typical High
$15.14

Where New Jersey 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.

New Jersey $12.30 · 35th 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.