Code Reality Check
81003 reimbursement rate: Urinalysis, dipstick, automated
Urinalysis, dipstick, automated (CPT 81003) pays a median $6.94 in North Carolina and $1.11 in New York, against a Medicare anchor of $2.46. 50 of 51 states clear the publication floor.
spread 6.3x top to bottom
Medicare anchor $2.46
50/51 states published
The 50-state spread
as of 2026-07-15| State | Median | vs Medicare | Band | Rate points | Tier |
|---|---|---|---|---|---|
| North Carolina | $6.94 | 2.82x | $2–$17 · P90 $17 | 142,329 | Benchmark |
| Indiana | $3.05 | 1.24x | $2–$3 · P90 $4 | 79,394 | Benchmark |
| New Jersey | $2.87 | 1.17x | $2–$5 · P90 $7 | 19,026 | Benchmark |
| California | $2.84 | 1.15x | $2–$6 · P90 $9 | 95,655 | Benchmark |
| Wisconsin | $2.81 | 1.14x | $2–$5 · P90 $13 | 29,482 | Benchmark |
| South Carolina | $2.81 | 1.14x | $1–$7 · P90 $17 | 7,825 | Benchmark |
| Illinois | $2.72 | 1.11x | $1–$4 · P90 $7 | 13,128 | Benchmark |
| Utah | $2.66 | 1.08x | $2–$5 · P90 $14 | 892 | Benchmark |
| Wyoming | $2.57 | 1.04x | $3–$5 · P90 $5 | 748 | Benchmark |
| Idaho | $2.55 | 1.04x | $2–$5 · P90 $9 | 578 | Benchmark |
| Missouri | $2.44 | 0.99x | $1–$4 · P90 $14 | 53,381 | Benchmark |
| Oregon | $2.39 | 0.97x | $1–$5 · P90 $9 | 1,544 | Benchmark |
| Arkansas | $2.34 | 0.95x | $1–$5 · P90 $7 | 1,058 | Benchmark |
| District of Columbia | $2.33 | 0.95x | $2–$3 · P90 $7 | 1,207 | Benchmark |
| Mississippi | $2.29 | 0.93x | $1–$5 · P90 $9 | 620 | Benchmark |
| Nebraska | $2.29 | 0.93x | $1–$5 · P90 $9 | 484 | Benchmark |
| Michigan | $2.28 | 0.93x | $2–$3 · P90 $7 | 5,654 | Benchmark |
| South Dakota | $2.25 | 0.91x | $1–$5 · P90 $9 | 239 | Benchmark |
| Arizona | $2.25 | 0.91x | $1–$5 · P90 $9 | 3,018 | Benchmark |
| Oklahoma | $2.25 | 0.91x | $1–$4 · P90 $7 | 1,054 | Benchmark |
| Nevada | $2.25 | 0.91x | $2–$5 · P90 $9 | 1,247 | Benchmark |
| Pennsylvania | $2.21 | 0.90x | $1–$4 · P90 $7 | 11,432 | Benchmark |
| Washington | $2.19 | 0.89x | $1–$5 · P90 $9 | 2,786 | Benchmark |
| Louisiana | $2.18 | 0.89x | $1–$5 · P90 $8 | 1,204 | Benchmark |
| Texas | $2.10 | 0.85x | $1–$5 · P90 $5 | 37,533 | Benchmark |
| North Dakota | $2.09 | 0.85x | $1–$5 · P90 $9 | 272 | Benchmark |
| Georgia | $2.02 | 0.82x | $1–$4 · P90 $5 | 59,361 | Benchmark |
| Delaware | $2.00 | 0.81x | $1–$4 · P90 $7 | 567 | Benchmark |
| Alabama | $1.98 | 0.80x | $1–$5 · P90 $7 | 2,146 | Benchmark |
| Hawaii | $1.95 | 0.79x | $1–$5 · P90 $7 | 773 | Benchmark |
| Montana | $1.92 | 0.78x | $1–$5 · P90 $8 | 415 | Benchmark |
| Kentucky | $1.91 | 0.78x | $1–$2 · P90 $4 | 17,420 | Benchmark |
| Tennessee | $1.91 | 0.78x | $1–$5 · P90 $7 | 5,718 | Benchmark |
| Florida | $1.90 | 0.77x | $1–$4 · P90 $8 | 13,527 | Benchmark |
| New Mexico | $1.89 | 0.77x | $1–$5 · P90 $7 | 888 | Benchmark |
| Alaska | $1.72 | 0.70x | $1–$5 · P90 $17 | 300 | Benchmark |
| Maryland | $1.69 | 0.69x | $1–$5 · P90 $9 | 3,477 | Benchmark |
| Connecticut | $1.67 | 0.68x | $1–$5 · P90 $7 | 3,572 | Benchmark |
| Minnesota | $1.67 | 0.68x | $2–$7 · P90 $9 | 6,208 | Benchmark |
| Iowa | $1.66 | 0.67x | $2–$4 · P90 $9 | 1,090 | Benchmark |
| Virginia | $1.66 | 0.67x | $2–$2 · P90 $7 | 16,045 | Benchmark |
| West Virginia | $1.66 | 0.67x | $1–$3 · P90 $7 | 1,319 | Benchmark |
| Kansas | $1.66 | 0.67x | $1–$3 · P90 $5 | 1,494 | Benchmark |
| Massachusetts | $1.46 | 0.59x | $1–$3 · P90 $7 | 7,047 | Benchmark |
| Vermont | $1.46 | 0.59x | $1–$1 · P90 $3 | 1,022 | Benchmark |
| Ohio | $1.40 | 0.57x | $1–$3 · P90 $5 | 66,095 | Benchmark |
| Maine | $1.35 | 0.55x | $1–$1 · P90 $3 | 9,990 | Benchmark |
| Colorado | $1.35 | 0.55x | $1–$2 · P90 $5 | 8,335 | Benchmark |
| Rhode Island | $1.27 | 0.52x | $1–$2 · P90 $4 | 8,413 | Benchmark |
| New York | $1.11 | 0.45x | $1–$3 · P90 $7 | 164,225 | Benchmark |
Payer-blind local peer percentiles per state, full verified distribution. Publication floor: 11 verified rate points and a non-degenerate spread; the P25–P75 band unlocks at 25 points, P90 at 100 (a smaller cell's P90 is one contract, not a statistic).
Documented reimbursement figures are modeled, not guaranteed. Derived from federally mandated Transparency in Coverage data (45 CFR 147.212). No PHI.
One code is a data point. Your contract is the story.
The spread above is payer-blind. Where your own contracts sit inside it, payer by payer and code by code, is what the Mirror shows for any NPI, free, in seconds.
Cite this page
Source: Reddenda Code Reality Check, CPT 81003. Reddenda. https://reddenda.health/code/81003/
Derivation federally mandated TiC MRFs, verified to provider identity911,237 verified rate points across 50 statesas of 2026-07-15 · methodology v1.0