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See a sample rate comparisonCPT 81015 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Urine Bacteria Analysis, This Analysis Checks Urine For The Presence Of Bacteria. The Process May Be Manual Or Automated. While Normally There Is No Bacteria In Urine It May Be Present If A Person Is Ill Or If The Sample Is Contaminated.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Urinalysis Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 81015 |
| Medicaid Fee Schedule | View Medicaid rates for 81015 |
National average reimbursement for CPT 81015 by major payers:
$3.05
$2.83
$3.92
$4.42
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CPT 81015
5 of 25 sample ratesHigher to lower in this preview
Johanna Agustin
Via Christi Clinic, P.A.
$6.21Published rateKara Ehlers
The Center For Reproductive Medicine
$4.23Published rateDennis Katz
Midamerica Polyclinic PA
$3.04Published ratePrisma Health-Upstate, Prisma Health Cancer Inst-Seneca
Prisma Health - Upstate
$2.75Published ratePatrick Nosti
Urogynecology Reconstructive Pelvic Surgery Of Kansas City LLC
$1.83Published rate
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See a sample payer proposalCPT 81015 vs. Other Urinalysis Procedures Codes
The CPT 81015 code is part of the Pathology and Laboratory Procedures services used for Urinalysis Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 81015 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 81001-CPT | Low | Urine Analysis, Urine Test That Checks Ph And Looks For Substances Such As Blood Crystals Bile And White Blood Cells (Antibodies). These May Be Viewed Under A Microscope Or Detected With Dip Sticks Or Colorizing Tablets. A Computer Analysis May Be Done As Well. |
| 81005-CPT | Low | Urine Analysis For A Substance, Basic Urine Analysis For A Particular Substance Such As Blood Antibodies Bile Or Crystals. The Result May Be Recorded Simply As Positive Or Negative. |
| 81015-CPT | Low | Urine Bacteria Analysis, This Analysis Checks Urine For The Presence Of Bacteria. The Process May Be Manual Or Automated. While Normally There Is No Bacteria In Urine It May Be Present If A Person Is Ill Or If The Sample Is Contaminated. |
| 81020-CPT | Low | Urine Analysis, Urine Test That Checks Ph And Looks For Substances Such As Blood Crystals Bile And White Blood Cells (Antibodies). These May Be Viewed Under A Microscope Or Detected With Dip Sticks Or Colorizing Tablets. A Computer Analysis May Be Done As Well. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 81015. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 81015 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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