go back

Urine Pregnancy Test

South Carolina 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?

$38.90

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $85.11 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 6 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$9.55$6.76 to $17.38
FacilityA hospital or hospital-owned outpatient department$85.11$25.70 to $234

How much rates vary

Facilitymedian $85 · 10th to 90th $13 to $617Professionalmedian $10 · 10th to 90th $6 to $44
$10.0$100.0$1.0K$10.0Kfacility $85professional $10

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
$14.45
Median
$87.10
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$10.47
Typical High
$46.77
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$8.71
Typical High
$13.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$29.51
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$8.71
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$38.90
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.27
Typical High
$10.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$9.12
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$8.71
Typical High
$10.23
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.92
Typical High
$8.91

Where South Carolina 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.

South Carolina $38.90 · 4th 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.