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Urine Pregnancy Test

Rhode Island 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?

$13.49

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $13.49 for this service. The price depends on where it is billed: about $8.71 from a physician practice, and about $37.15 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$8.71$6.61 to $14.45
FacilityA hospital or hospital-owned outpatient department$37.15$19.05 to $60.26

How much rates vary

Facilitymedian $37 · 10th to 90th $10 to $85Professionalmedian $9 · 10th to 90th $6 to $17
$10.0$100.0$1.0Kfacility $37professional $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
$19.05
Median
$40.74
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$13.49
Typical High
$16.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$10.00
Typical High
$12.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.46
Typical High
$9.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$15.14
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.92
Typical High
$12.30
United
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.92
Typical High
$12.59

Where Rhode Island 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.

Rhode Island $13.49 · 28th 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.