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
Atlanta, GA $3.28 $0.00 – $49.44 286,894 159
Redding, CA $2.01 $0.00 – $12.47 285,727 87
New Brunswick, NJ $3.83 $0.00 – $106.74 282,844 36
Mission Hills, CA $4.91 $0.00 – $8.58 282,267 39
Lynwood, CA $2.80 $0.00 – $7.79 280,449 59
Ventura, CA $6.13 $0.00 – $58.35 280,282 101
Stamford, CT $1.10 $0.00 – $7.78 276,333 79
Royal Oak, MI $2.36 $0.00 – $26.06 275,250 27
Huntington, WV $6.35 $0.00 – $57.26 274,692 108
Ponce, PR $3.76 $0.00 – $5.90 273,785 55
Aiea, HI $4.53 $0.00 – $5.07 272,638 8
Downey, CA $1.75 $0.00 – $5.69 266,455 70
Corpus Christi, TX $8.04 $0.00 – $117.79 264,099 203
Porterville, CA $2.09 $0.00 – $49.89 263,304 59
Honolulu, HI $2.07 $0.00 – $31.70 260,577 91
South Plainfield, NJ $1.76 $0.22 – $1.81 259,319 5
Burbank, CA $1.84 $0.00 – $11.52 258,577 57
Las Cruces, NM $5.57 $0.00 – $11.49 257,075 135
Syracuse, NY $1.96 $0.00 – $86.14 256,819 129
Lake Charles, LA $2.98 $0.00 – $9.10 254,836 162
Elgin, IL $1.64 $0.00 – $6.15 253,993 34
Jackson, TN $3.15 $0.00 – $89.22 252,973 216
Lakeland, FL $1.10 $0.00 – $30.62 251,368 91
Allen Park, MI $3.53 $1.05 – $3.57 250,870 8
Garden Grove, CA $1.76 $0.00 – $10.90 250,059 66
Tallahassee, FL $0.62 $0.00 – $29.14 249,468 107
Salt Lake City, UT $18.37 $0.00 – $189.70 248,847 139
Rockford, IL $1.91 $0.00 – $16.64 245,520 82
Fort Wayne, IN $3.31 $0.00 – $12.74 240,917 312
Escondido, CA $6.73 $0.00 – $62.76 239,275 57
Hillside, IL $4.32 $4.32 – $4.32 238,984 1
West Palm Beach, FL $0.94 $0.00 – $7.04 237,823 89
Brownsville, TX $3.77 $0.00 – $31.82 237,683 100
Fountain Valley, CA $1.67 $0.00 – $28.03 237,373 46
St Petersburg, FL $1.14 $0.00 – $75.54 235,859 143
Camden, NJ $3.08 $0.00 – $24.11 233,648 68
Winston Salem, NC $4.34 $0.00 – $123.61 230,661 344
Charlottesville, VA $2.06 $0.00 – $17.11 227,405 52
Canton, OH $2.71 $0.00 – $18.57 226,536 150
Madison, WI $8.34 $0.00 – $47.66 226,281 74
Ashland, KY $4.16 $0.00 – $11.16 224,268 78
Green Bay, WI $7.80 $0.00 – $9.40 224,034 45
Kansas City, MO $69.58 $0.00 – $2,157 223,797 310
Clermont, FL $0.66 $0.00 – $28.67 222,135 25
Anchorage, AK $54.02 $0.00 – $657.03 220,162 63
Edinburg, TX $3.46 $0.00 – $111.18 217,843 112
Park Ridge, IL $2.49 $1.24 – $4.45 216,246 31
Doral, FL $0.12 $0.00 – $3.31 216,141 15
Corona, CA $2.06 $0.00 – $9.08 214,111 59
Rancho Dominguez, CA $0.68 $0.31 – $0.92 213,148 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.