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PAPP-A Pregnancy Blood Test

Vermont rates for HCPCS 84163

A blood test that measures pregnancy-associated plasma protein A, a substance made by the placenta and found in a pregnant woman's blood. It is used in early pregnancy screening, where a low level can suggest a raised chance of certain chromosome conditions or of placenta problems later in the pregnancy.

Rates data updated July 2026.

How much does PAPP-A Pregnancy Blood Test cost?

$26.30

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $83.18 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$26.30$23.44 to $26.30
FacilityA hospital or hospital-owned outpatient department$83.18$25.12 to $117

How much rates vary

Facilitymedian $83 · 10th to 90th $16 to $257Professionalmedian $26 · 10th to 90th $15 to $26
$10$20$50$100$200facility $83professional $26

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
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$117.49
Typical High
$269.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$20.42
Typical High
$23.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
United
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$20.89
Typical High
$40.74

Where Vermont sits

The same service costs 2.5 times more in Hawaii than in Washington, DC. 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

$26.30

HI $27.54DC $11.22

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.