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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
Seguin, TX $7.99 $0.00 – $24.67 24,226 16
Miamisburg, OH $0.74 $0.14 – $13.26 24,219 17
Marinette, WI $4.38 $2.37 – $5.33 24,201 5
Greenville, KY $3.21 $0.31 – $5.75 24,196 12
Scott, LA $2.45 $1.16 – $2.61 24,193 4
Bowling Green, OH $3.11 $0.00 – $7.94 24,183 30
Powell, TN $1.68 $0.07 – $8.32 24,123 26
Poland, OH $3.14 $0.00 – $6.20 24,113 11
Anasco, PR $3.37 $1.36 – $3.72 23,994 8
Guaynabo, PR $3.14 $0.00 – $3.73 23,954 18
Circleville, OH $2.15 $0.00 – $12.66 23,936 24
Greenbelt, MD $4.80 $0.00 – $18.68 23,864 18
Manistee, MI $0.76 $0.22 – $2.04 23,856 6
Canoga Park, CA $0.80 $0.00 – $5.40 23,835 21
Rockledge, FL $0.64 $0.00 – $8.66 23,768 17
Havre, MT $0.64 $0.00 – $1.48 23,767 4
Tullahoma, TN $2.21 $0.17 – $3.27 23,748 31
Lawrenceville, GA $2.94 $0.00 – $7.61 23,747 30
Saint Charles, MO $36.17 $0.92 – $170.71 23,703 15
Keene, NH $2.14 $0.00 – $7.55 23,683 13
Waterville, ME $0.77 $0.77 – $0.77 23,679 1
York, ME $0.39 $0.35 – $2.34 23,668 5
Barceloneta, PR $3.46 $2.76 – $4.23 23,622 8
St Augustine, FL $1.11 $0.00 – $4.59 23,616 24
Soldotna, AK $4.32 $0.00 – $105.45 23,596 17
The Woodlands, TX $3.59 $0.00 – $34.34 23,577 32
Gladwin, MI $1.48 $1.41 – $2.36 23,577 3
Williamson, WV $9.34 $0.55 – $33.98 23,566 14
North Easton, MA $1.85 $1.24 – $6.26 23,560 15
Shafter, CA $1.33 $0.00 – $4.35 23,537 19
Roosevelt, UT $9.05 $0.06 – $18.78 23,416 16
Macon, GA $3.60 $0.00 – $7.36 23,408 44
Rancho Cucamonga, CA $0.78 $0.00 – $10.00 23,304 48
Westfield, MA $4.42 $0.00 – $6.78 23,238 9
Clarksdale, MS $1.48 $0.00 – $3.64 23,115 30
Lawrenceburg, TN $1.43 $0.02 – $3.49 23,093 49
Seaside, CA $2.56 $0.64 – $6.93 23,022 7
Loveland, CO $10.48 $0.00 – $28.15 23,007 49
Hendersonville, TN $1.24 $0.00 – $25.22 23,001 38
Sheffield, AL $2.09 $0.00 – $10.62 23,001 20
Paris, TX $2.82 $0.31 – $48.88 22,955 12
Kirksville, MO $8.45 $0.92 – $95.53 22,944 18
Athens, TX $3.01 $0.00 – $6.61 22,936 18
Petersburg, WV $17.18 $0.00 – $23.48 22,829 10
Albemarle, NC $4.18 $0.76 – $7.94 22,829 31
Marietta, GA $3.66 $0.00 – $15.17 22,825 40
Silver City, NM $9.65 $0.38 – $26.91 22,815 19
Soledad, CA $1.25 $0.73 – $1.96 22,725 3
Harrisburg, PA $2.70 $0.00 – $23.30 22,718 92
Globe, AZ $0.37 $0.00 – $2.36 22,695 4

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.