go back

Urine Pregnancy Test

Vermont rates for HCPCS 81025

A urine test that checks for the presence of a pregnancy hormone using a simple visual color-change method, similar to an over-the-counter home pregnancy test. It gives a quick yes-or-no result rather than a precise hormone level.

Rates data updated October 2026.

How much does Urine Pregnancy Test cost?

$64.57

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $9.33 from a physician practice, and about $66.07 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9.33$8.13 to $10.96
FacilityA hospital or hospital-owned outpatient department$66.07$54.95 to $85.11

How much rates vary

Facilitymedian $66 · 10th to 90th $38 to $129Professionalmedian $9 · 10th to 90th $5 to $12
$5$10$20$50$100facility $66professional $9

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$66.07
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.80
Median
$10.96
Typical High
$10.96
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$33.88
Median
$51.29
Typical High
$112.20
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$14.45
Median
$14.45
Typical High
$64.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$5.13
Median
$10.23
Typical High
$12.30
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
United
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$8.91
Typical High
$14.13

Where Vermont sits

The same service costs 15.8 times more in Minnesota than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 2nd of 51

$64.57

MN $67.61AL $4.27

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.