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
Statesboro, GA $2.35 $0.52 – $4.25 17,739 11
Franklin, IN $2.22 $1.12 – $3.48 17,726 14
Willits, CA $3.91 $0.04 – $4.02 17,717 3
Cudahy, CA $0.38 $0.00 – $1.69 17,681 6
Delaware, OH $1.04 $0.00 – $6.34 17,673 22
New Braunfels, TX $2.30 $0.04 – $16.92 17,672 26
Roxbury, MA $5.30 $4.05 – $6.45 17,649 3
Hancock, MI $1.76 $1.75 – $4.79 17,556 2
Winton, CA $3.88 $0.29 – $6.49 17,539 3
Newburyport, MA $3.35 $0.47 – $3.90 17,533 10
Baraboo, WI $7.71 $7.50 – $7.71 17,527 2
Waverly, OH $1.57 $0.00 – $9.06 17,522 21
Cranford, NJ $0.32 $0.20 – $3.68 17,506 13
Bremen, GA $2.82 $0.00 – $2.97 17,496 3
Montgomery, OH $3.92 $0.00 – $6.22 17,475 17
Pulaski, TN $2.50 $0.88 – $4.74 17,472 14
Lake Geneva, WI $4.83 $2.17 – $4.97 17,388 3
Johnstown, PA $4.22 $0.00 – $9.07 17,381 60
West Liberty, KY $15.33 $0.34 – $16.06 17,381 7
Schaumburg, IL $4.38 $1.15 – $7.01 17,375 13
Ontario, OH $1.76 $0.00 – $25.89 17,281 11
Winslow, AZ $0.54 $0.00 – $3.55 17,248 5
Mankato, MN $3.56 $0.00 – $15.25 17,224 62
Grants, NM $10.34 $0.31 – $11.64 17,209 4
North Kansas City, MO $18.18 $0.00 – $210.79 17,166 31
Howell, MI $0.61 $0.59 – $2.88 17,161 4
San Rafael, CA $2.56 $0.00 – $100.97 17,143 17
Hinesville, GA $3.35 $0.00 – $8.24 17,121 11
Farmington, MO $66.28 $1.69 – $359.58 17,105 25
Flower Mound, TX $2.91 $0.00 – $14.12 17,103 18
Woodstock, IL $1.93 $0.00 – $3.82 17,060 8
Richardson, TX $3.73 $0.02 – $72.77 16,974 19
Thomasville, NC $4.15 $0.47 – $7.85 16,971 37
Westminster, MD $1.85 $0.00 – $19.62 16,963 40
Lexington, TN $1.42 $0.84 – $5.72 16,961 27
Benton Harbor, MI $0.87 $0.70 – $6.32 16,939 6
Elkhorn, WI $7.10 $1.83 – $7.49 16,904 6
Mauston, WI $9.38 $9.38 – $9.38 16,879 1
Milford, MA $3.06 $0.47 – $7.21 16,865 10
Matthews, NC $3.49 $0.79 – $11.41 16,817 25
Tallassee, AL $3.89 $0.14 – $4.10 16,796 8
Medford, WI $4.99 $2.61 – $5.03 16,783 2
Coconut Creek, FL $1.02 $0.00 – $2.99 16,766 14
Evergreen Park, IL $2.74 $0.22 – $4.57 16,741 14
La Habra, CA $2.03 $0.00 – $3.39 16,732 20
Newton, MA $3.47 $3.47 – $3.47 16,707 1
Russell Springs, KY $10.09 $0.22 – $10.90 16,700 10
Lake Providence, LA $0.06 $0.00 – $0.77 16,661 12
Ceres, CA $1.74 $0.00 – $11.57 16,653 10
Dansville, NY $3.73 $1.25 – $4.98 16,651 6

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.