Skip to content
Based on public Medicaid payment data.

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 β€” 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
Hillsboro, OH $1.90 $0.00 – $22.37 27,024 23
Sanger, CA $0.17 $0.00 – $0.81 26,985 22
Port St Lucie, FL $0.69 $0.00 – $10.77 26,969 45
Dover Foxcroft, ME $0.32 $0.26 – $1.77 26,964 4
Lanham, MD $8.18 $0.03 – $16.57 26,843 8
Parma, OH $3.13 $0.00 – $196.07 26,596 33
West Chester, OH $1.65 $0.00 – $13.76 26,548 34
Ashtabula, OH $3.28 $0.00 – $7.26 26,545 24
Willingboro, NJ $2.64 $1.70 – $7.32 26,511 7
Iron Mountain, MI $1.72 $0.82 – $6.21 26,502 5
Jasper, AL $2.21 $0.00 – $5.16 26,469 37
Granite City, IL $1.00 $0.00 – $17.56 26,422 8
Columbia, KY $2.77 $0.10 – $6.60 26,397 14
Clarkston, WA $8.46 $0.00 – $9.67 26,387 10
Bolivia, NC $5.01 $0.56 – $12.44 26,378 26
Lincoln Park, MI $2.90 $0.26 – $3.74 26,378 6
Sherwood, AR $0.97 $0.66 – $3.22 26,362 6
Waxahachie, TX $3.52 $0.00 – $58.63 26,359 17
Kailua Kona, HI $0.79 $0.00 – $9.11 26,345 12
Commack, NY $3.08 $0.76 – $3.51 26,341 19
Southgate, MI $2.12 $0.00 – $3.95 26,338 16
Redford, MI $2.84 $0.00 – $4.77 26,294 8
Lebanon, TN $1.54 $0.01 – $4.23 26,284 46
Portsmouth, NH $1.80 $0.00 – $7.92 26,256 16
Mcminnville, TN $2.09 $0.28 – $4.17 26,224 33
Ruidoso, NM $7.78 $2.22 – $8.19 26,223 11
Hixson, TN $2.36 $0.27 – $5.55 26,218 34
Paramount, CA $1.33 $0.00 – $2.45 26,208 24
Saint Joseph, MO $63.03 $0.00 – $318.26 26,199 63
Hollywood, CA $1.93 $0.17 – $3.80 26,193 5
La Palma, CA $2.49 $0.63 – $3.37 26,123 8
Ravenna, OH $1.04 $0.00 – $24.71 26,050 24
East Hartford, CT $2.05 $0.00 – $5.24 26,013 22
Woodstock, VA $1.73 $1.73 – $1.73 25,967 1
Antigo, WI $4.62 $1.33 – $4.79 25,940 3
Jefferson City, TN $1.32 $0.35 – $12.75 25,936 30
Cuyahoga Falls, OH $1.23 $0.00 – $13.83 25,930 28
Pulaski, VA $0.58 $0.38 – $6.34 25,929 4
Irvine, CA $0.61 $0.00 – $8.04 25,922 58
Tappahannock, VA $0.68 $0.63 – $4.90 25,871 4
Independence, LA $3.70 $0.00 – $6.15 25,788 17
Rialto, CA $0.18 $0.00 – $1.90 25,769 22
Osage Beach, MO $29.61 $0.00 – $244.97 25,754 29
Rahway, NJ $2.67 $0.00 – $5.13 25,706 6
Boaz, AL $4.35 $1.19 – $5.49 25,687 26
Petaluma, CA $2.24 $0.12 – $3.31 25,658 24
Front Royal, VA $2.72 $1.34 – $18.13 25,619 6
West Bend, WI $5.17 $1.31 – $8.36 25,616 9
Lake Elsinore, CA $0.38 $0.00 – $1.34 25,615 15
Lillington, NC $2.66 $0.62 – $7.29 25,601 17

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 β€” β€” β€”

These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.