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Urine Pregnancy Test

Tennessee 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?

$20.42

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $20.42 for this service. The price depends on where it is billed: about $8.51 from a physician practice, and about $83.18 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$8.51$6.46 to $14.45
FacilityA hospital or hospital-owned outpatient department$83.18$30.90 to $120

How much rates vary

Facilitymedian $83 · 10th to 90th $11 to $170Professionalmedian $9 · 10th to 90th $6 to $21
$2.0$10.0$50.0$200.0facility $83professional $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
$12.30
Median
$85.11
Typical High
$177.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$8.13
Typical High
$21.38
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$8.71
Typical High
$13.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$17.38
Typical High
$28.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.25
Typical High
$11.75
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
United
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$7.76
Typical High
$8.71
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$8.71
Typical High
$12.88

Where Tennessee 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.

Tennessee $20.42 · 15th 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.