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Unlisted Urine Test

New York rates for HCPCS 81099

A laboratory examination of a urine sample that has no standard named entry of its own. It is used when a laboratory performs an uncommon or newly developed urine analysis for which no established named test exists. The laboratory supplies a written description of what was actually measured.

Rates data updated July 2026.

How much does Unlisted Urine Test cost?

$5.01

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $5.01 for this service. The price depends on where it is billed: about $5.01 from a physician practice, and about $31.62 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 8 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$5.01$5.01 to $5.01
FacilityA hospital or hospital-owned outpatient department$31.62$7.24 to $47.86

How much rates vary

Facilitymedian $32 · 10th to 90th $5 to $49Professionalmedian $5 · 10th to 90th $4 to $5
$10$100$1K$10Kfacility $32professional $5

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
$5.01
Median
$5.01
Typical High
$25.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.35
Typical High
$1.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$39.81
Typical High
$69.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$389.05
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.92
Typical High
$8.32
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$2.63
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$257.04
Typical High
$53,703.18
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$3.47
United
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$67.61
Typical High
$75.86
Univera
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$13.18
Univera
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$7.41
Typical High
$13.18

Where New York sits

The same service costs 144.5 times more in Iowa than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 41st of 47

$5.01

IA $151IN $1.05

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.