go back

Urine Pregnancy Test

West Virginia 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?

$40.74

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $8.71 from a physician practice, and about $53.70 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$8.71$6.92 to $18.62
FacilityA hospital or hospital-owned outpatient department$53.70$26.92 to $93.33

How much rates vary

Facilitymedian $54 · 10th to 90th $20 to $110Professionalmedian $9 · 10th to 90th $6 to $19
$5.0$10.0$20.0$50.0$100.0$200.0facility $54professional $9

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$53.70
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$10.72
Typical High
$19.50
CareSource
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
CareSource
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$10.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$12.59
Typical High
$25.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$12.30
Typical High
$41.69
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$39.81
Typical High
$74.13
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$8.71
United
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$10.00
United
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.50
Typical High
$16.98

Where West Virginia 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.

West Virginia $40.74 · 2nd 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.