BACKGROUND: Biomonitoring is crucial for assessing the level of pollution in a population, identifying risks and studying the impact of changes in technology. Knowledge of the reference values of trace elements in biological material is critical in comparing exposed with non-exposed groups and accurate. The control values of trace elements are crucial for ensuring public health and occupational safety. AIM: To study and analyze concentrations of priority chemical pollutants in the urine of adolescents aged 14–17 years in three zones in Kazan City and determine reference values for this age group. MATERIALS AND METHODS: The concentration of elements in urine of 276 adolescents aged 14–17 years was measured by inductively coupled plasma mass spectrometry. RESULTS: The upper 95 percentiles and their confidence intervals (RV95) were determined, which established the upper limit of the current background exposure to adolescents for 12 biomarkers, interpreted as “conditional” reference values for this age group. The following reference values for adolescents in Kazan City were obtained: Al, 12.80 µg/L; Cr, 1.02 µg/L; Mn, 3.53 µg/L; Hg, 0.65 µg/L; Cu, 110.91 µg/L, and Ni, 8.72 µg/L. In adolescents, the highest level of exceedance over background values was observed in zones 1 and 2 (Kirovsky and Privolzhsky Districts): Al exceeded by 1.4 times, Cr by 1.3 times in zone 1 (Kirovsky District), Mn by 1.5 times, Hg by 1.3 times, and Cu by 1.14 times in zone 2 (Privolzhsky district).The results are of interest for further analysis and identification of interrelations in the territory of the Republic of Tatarstan, Russia, where exposure levels may vary between regions or separate subgroups living in the same territory. CONCLUSION: Research in the field of biomonitoring in Kazan established the levels of exposure to toxic elements among the studied population and provided means for comparing exposure for further research by population groups by age, sex, and ethnicity. Moreover, biomonitoring results can be used to determine research priorities, measure exposure trends over time, and verify effectiveness of individual measures to combat pollution and other measures in the field of the environment and public health. The study presents modern technologies for assessing exposure to chemical pollutants using human biomonitoring methods and demonstrates its advantages.