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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 July 2026.

How much does Urine Pregnancy Test cost?

$9.55

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $9.55 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $48.98 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9.55$7.08 to $10.23
FacilityA hospital or hospital-owned outpatient department$48.98$28.84 to $63.10

How much rates vary

Facilitymedian $49 · 10th to 90th $14 to $107Professionalmedian $10 · 10th to 90th $7 to $11
$5.0$10.0$20.0$50.0$100.0facility $49professional $10

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$20.89
Median
$28.84
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$9.55
Typical High
$10.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$51.29
Typical High
$107.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$10.23
Typical High
$12.30
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
United
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$8.91
Typical High
$19.05

Where Vermont sits

The same service costs 4.9 times more in Florida than in Montana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Vermont $9.55 · 50th of 51
FL $41.69MT $8.51

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.