Average Medicaid Urinalysis & Urine Tests Payments
Typical Medicaid Urinalysis & Urine Tests reimbursement across 8,570 cities
Avg. Medicaid Paid
$3.72
Price Range
$0.00 – $565.62
Total Claims
265.6M
Cities
8570
Typical Payment Range
Typical Medicaid Urinalysis & Urine Tests payments fall between $1.15 and $3.79 per claim (median: $2.28). The top 10% of payments exceed $6.72.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Laboratory analysis of urine to detect disorders like urinary tract infections, kidney disease, and diabetes.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Boston, MA | $4.29 | $0.00 – $1,470 | 683,935 | 199 |
| Jackson, MS | $3.52 | $0.00 – $35.90 | 682,294 | 178 |
| Baltimore, MD | $3.45 | $0.00 – $61.77 | 682,203 | 403 |
| Lexington, KY | $4.78 | $0.00 – $16.85 | 649,542 | 313 |
| Orlando, FL | $1.70 | $0.00 – $183.49 | 643,458 | 533 |
| Baton Rouge, LA | $3.37 | $0.00 – $64.64 | 634,979 | 602 |
| Austin, TX | $2.52 | $0.00 – $77.65 | 612,948 | 284 |
| Anaheim, CA | $1.66 | $0.00 – $17.33 | 603,546 | 153 |
| Hicksville, NY | $2.41 | $0.64 – $3.28 | 599,269 | 14 |
| New Haven, CT | $1.26 | $0.00 – $50.37 | 597,256 | 140 |
| New Orleans, LA | $3.43 | $0.00 – $12.27 | 588,139 | 535 |
| Denver, CO | $6.99 | $0.00 – $92.98 | 586,783 | 561 |
| Norfolk, VA | $1.59 | $0.00 – $353.58 | 585,340 | 106 |
| Clovis, CA | $0.23 | $0.00 – $3.19 | 583,707 | 47 |
| Columbia, SC | $27.45 | $0.00 – $93.62 | 559,580 | 292 |
| Charlotte, NC | $6.11 | $0.00 – $113.96 | 558,085 | 689 |
| Hartford, CT | $0.83 | $0.00 – $225.11 | 549,845 | 172 |
| Washington, DC | $1.00 | $0.00 – $42.69 | 544,993 | 281 |
| Portland, OR | $4.86 | $0.00 – $24.59 | 532,962 | 557 |
| Modesto, CA | $2.49 | $0.00 – $34.15 | 526,756 | 161 |
| Riverside, CA | $1.98 | $0.00 – $148.61 | 525,506 | 238 |
| Springfield, MA | $4.22 | $0.00 – $73.03 | 522,042 | 139 |
| Rochester, NY | $4.76 | $0.00 – $70.66 | 521,063 | 246 |
| San Jose, CA | $1.64 | $0.00 – $35.78 | 520,578 | 238 |
| Springfield, IL | $3.01 | $0.00 – $221.57 | 520,146 | 75 |
| Charleston, SC | $22.37 | $0.00 – $432.05 | 515,077 | 152 |
| Tacoma, WA | $2.19 | $0.00 – $29.05 | 514,138 | 141 |
| Oklahoma City, OK | $7.14 | $0.00 – $133.75 | 508,508 | 349 |
| El Monte, CA | $0.27 | $0.00 – $4.78 | 498,503 | 60 |
| Lafayette, LA | $3.17 | $0.00 – $12.68 | 489,397 | 271 |
| Caguas, PR | $3.91 | $0.00 – $4.64 | 476,787 | 24 |
| Grand Rapids, MI | $1.69 | $0.00 – $6.85 | 474,137 | 65 |
| Flint, MI | $2.05 | $0.00 – $7.13 | 473,724 | 67 |
| Greenville, SC | $27.05 | $0.00 – $110.05 | 468,246 | 220 |
| Buffalo, NY | $4.00 | $0.00 – $72.28 | 459,967 | 196 |
| Jacksonville, FL | $0.96 | $0.00 – $87.30 | 455,511 | 362 |
| Spokane, WA | $2.36 | $0.00 – $72.12 | 445,664 | 179 |
| Mesa, AZ | $0.87 | $0.00 – $48.61 | 442,081 | 159 |
| La Mesa, CA | $3.66 | $0.00 – $15.08 | 438,401 | 54 |
| Charleston, WV | $10.76 | $0.00 – $103.81 | 438,273 | 143 |
| Shreveport, LA | $2.84 | $0.00 – $9.33 | 437,513 | 354 |
| Englewood, CO | $6.37 | $0.00 – $79.19 | 429,690 | 47 |
| Bridgeport, CT | $2.91 | $0.00 – $52.06 | 429,643 | 105 |
| Brockton, MA | $2.95 | $0.00 – $26.24 | 424,203 | 64 |
| El Paso, TX | $4.50 | $0.00 – $77.95 | 424,025 | 287 |
| Madera, CA | $1.78 | $0.00 – $45.74 | 422,899 | 94 |
| Oakland, CA | $3.70 | $0.00 – $323.09 | 415,978 | 192 |
| Santa Ana, CA | $2.32 | $0.00 – $15.11 | 413,569 | 159 |
| Visalia, CA | $1.59 | $0.00 – $17.92 | 412,660 | 108 |
| West Allis, WI | $6.94 | $0.00 – $49.05 | 408,963 | 31 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 81001 | Urinalysis auto w/micro | $3.05 | 85,139,705 | 42,083 |
| 87086 | Urine culture quantitative | $5.39 | 53,347,414 | 20,570 |
| 81003 | Urinalysis auto w/o micro | $2.35 | 52,938,086 | 53,353 |
| 81025 | Urine pregnancy test | $5.85 | 42,189,148 | 50,612 |
| 81002 | Urinalysis nonauto w/o micro | $2.39 | 27,417,633 | 35,999 |
| 87088 | Urine culture w/isolation | $4.57 | 19,055,679 | 5,942 |
| 81000 | Urinalysis nonauto w/micro | $2.52 | 8,327,846 | 7,329 |
| 81015 | Urinalysis microscopic only | $1.99 | 1,412,255 | 1,350 |
| 81005 | Urinalysis qualitative | $1.09 | 485,789 | 748 |
| 81050 | Volume measurement | $2.17 | 201,053 | 148 |
| 81007 | Urinalysis w/bacteria screen | $5.49 | 157,126 | 178 |
| 81020 | Urinalysis 2-3 glass test | — | — | — |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.