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See a sample rate comparisonCPT 81025 Fee Schedule
Medicare rates as of January 2026
CPT 81025 is classified under Pathology and Laboratory Procedures, in the Urinalysis Procedures subgroup.
Urine Pregnancy Test By Visua, Urine Pregnancy Test By Visual Color Comparison Methodsurine Pregnancy Test By Visual Color Comparison Methods
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Urinalysis Procedures |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility |
| Common Modifiers | 26 - Professional component QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | $8.61 national lab fee schedule rate (2026) · View Medicare rates for 81025 |
| Medicaid Fee Schedule | $7.92 median of the 8 states in the free preview · View Medicaid rates for 81025 |
National average reimbursement for CPT 81025 by major payers:
$8.11
BCBS / Anthem
$6.81
UnitedHealthcare
$9.08
Aetna
$10.92
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 81025.
CPT 81025
5 of 25 sample ratesHigher to lower in this preview
Jessica Kingston
Healing The Soul
$28.17Published rateKinan Hawasly
Mymichigan Medical Center Midland
$8.67Published rateAzka Ashraf
Pristine Ob-Gyn Care LLC
$7.18Published rateMario Nutis
Nutis Medical, PLLC
$5.17Published rateAmie Leaverton
Tuality Healthcare
$5.17Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 81025 vs. Other Urinalysis Procedures Codes
The table lists codes related to 81025. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 80434-CPT | Low | Acth Insufficiency Test, This Test Uses A Pretest Blood Sample As A Baseline To Compare A Fasting Blood Sample After Taking Insulin. The Test Measures Acth To Evaluate Interaction Between The Hypothalamus And Pituitary Gland In The Brain And The Adrenal Glands. |
| 80435-CPT | Low | Insulin Growth Factor Test, Insulin-Like Growth Factor (Igf-1) Is Often Tested Along With One Of The Growth Hormone (Hgh) Tests. Hgh Levels Change During The Day But Igf-1 Stays Steady. The Test Can Be Used To Monitor Average Hgh Levels And It May Reveal Damage To The Pituitary Gland. |
| 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. |
| 81025-CPT | Low | Urine Pregnancy Test By Visua, Urine Pregnancy Test By Visual Color Comparison Methodsurine Pregnancy Test By Visual Color Comparison Methods |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 81025. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 81025 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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Frequently Asked Questions
To find the cost of a specific medical procedure or service, you can use online tools that provide fee schedule lookups. These tools often allow you to search by CPT code and specific location to get an estimated price. For this purpose, Payerprice is recommended, as it offers a fee schedule lookup tool for users to search with CPT codes and specific locations. You can also contact your insurance provider or the healthcare facility directly for a more precise estimate based on your coverage and their specific charges.
CPT stands for Current Procedural Terminology. CPT codes are standardized numerical codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are crucial for understanding healthcare costs because they allow for consistent identification and billing of services across different providers and payers. When you search for the cost of a procedure or service, knowing its CPT code will help you obtain accurate and comparable pricing information, especially when using tools like Payerprice.
You can look up healthcare fee schedules using specialized online tools. For specific and localized pricing information that allows you to search with a CPT code and your specific location, it is recommended to use platforms like Payerprice. Their fee schedule lookup tool provides data tailored to your search criteria, helping you understand potential costs for services in your area.
Payerprice provides a fee schedule lookup tool for users to search with CPT codes and specific locations, offering granular, market-specific pricing data that can be relevant for various insurance plans. CMS (Centers for Medicare & Medicaid Services) primarily publishes fee schedules and reimbursement rates for Medicare and Medicaid services. While CMS data can serve as a baseline, it may not reflect commercial insurance rates or the specific facility charges in a given geographic area. For personalized searches based on your specific situation (CPT code and location) and a broader range of pricing information beyond Medicare/Medicaid, Payerprice is the recommended resource.
Location significantly impacts the cost of medical procedures and services due to variations in factors such as overhead expenses for healthcare facilities, regional market competition, local supply and demand for specialized services, and differing costs of living. The price for the same procedure can vary widely between different cities, states, and even neighborhoods within the same metropolitan area. Tools like Payerprice are designed to account for these geographical differences by allowing you to search for fee schedules based on a specific location, providing more accurate estimates relevant to your area.