Display omitted •Temporal variability in urinary neonicotinoid concentrations was examined.•Seven neonicotinoids/metabolites were detected in 75–100% of urine samples.•Intraclass correlation coefficients for urinary neonicotinoids ranged 0.02–0.42.•Minimum number of samples required to predict individual’s exposure was 16–172.•Urinary levels of neonicotinoids/metabolites were associated with oxidative stress. Human exposure to neonicotinoid insecticides (hereafter “neonics”) is a concern. Spot urine samples have been widely used in the assessment of exposure to neonics. Urinary concentrations, however, can vary greatly over time due to variable exposure, potentially leading to exposure misclassification. In this study, within- and between-individual variability of urinary concentrations of 13 neonics and their metabolites collected consecutively for up to 44 days from 19 individuals were examined. We also measured seven oxidative stress biomarkers (OSBs) in repeated urine samples to elucidate their relationship with neonic exposure by mixed regression models. Intraclass correlation coefficients (ICCs, a ratio of between-individual variance to total variance) were used to assess the reproducibility of neonic/metabolite concentrations. Sensitivity and specificity were used to evaluate how well spot urine samples determined an individual’s average exposure over 44 days. A fair to good reproducibility was observed for N-desmethyl-acetamiprid (ICC = 0.42), whereas thiamethoxam, imidacloprid, clothianidin, imidaclothiz, 6-chloronicotinic acid, and sulfoxaflor showed poor reproducibility (ICC = 0.02–0.37). Use of single-spot urine samples to classify high (top 33%) exposure showed higher specificities (0.68–0.92) than sensitivities (0.32–0.88). The minimum number of specimens (k) required to estimate participant-specific mean for neonic exposures within 20% of the “true” values ranged from 16 to 172. Significant positive correlations were found between some of neonic and OSB concentrations. The high variability found in the urinary concentrations of most neonics/metabolites suggests that a single measurement can result in exposure misclassification.