Was kostet Pap-Abstrich?
A Pap smear (Pap test) is a screening procedure for cervical cancer that collects cells from the cervix for examination. As a preventive service, it is typically covered at no cost under most insurance plans and Medicare.
Ohne Versicherung
$250
Mit Versicherung
$0
Medicare
$0
Landesweiter Durchschnitt
$83
By Elena Bellini, MPH, Health Policy & Management · Last reviewed 2026-04-21 ·
Sources: CMS Preventive Services Guidelines 2025 · Methodology · Editorial standards Übersicht
A Pap smear (Pap test) is a cervical cancer screening test in which cells are collected from the cervix during a pelvic exam and sent to a lab for cytologic interpretation. Modern screening often combines the cytology with HPV testing (co-testing), which extends the screening interval for negative results. The collection itself takes just a few minutes as part of a routine well-woman visit. Current USPSTF and professional guidelines recommend screening for most average-risk patients every 3 years with cytology alone starting at age 21, or every 5 years with HPV co-testing beginning at age 30. Because Pap screening falls under the ACA's preventive-services benefit, the patient should generally owe nothing for the screening test itself when billed correctly as preventive and performed by an in-network provider. The office-visit component, the lab (cytology plus HPV), and any follow-up procedure for abnormal results (colposcopy, biopsy) are handled under different billing rules.
Was den Preis beeinflusst
- Preventive vs diagnostic coding: preventive screening Pap is zero-cost-share under the ACA; a Pap ordered for evaluation of symptoms is diagnostic and subject to cost-sharing.
- HPV co-testing: adding HPV testing is standard for most patients 30 and older; it is bundled as preventive when done for screening.
- Lab processing: cytology interpretation is billed separately from the office visit and collection.
- Provider type and setting: in-network primary care, OB-GYN, or community health center pricing differs from hospital-affiliated clinics.
- Office visit modifiers: if the visit addresses other problems beyond screening, a separate E&M code may be billed alongside the preventive service.
- Follow-up of abnormal results: colposcopy and cervical biopsy if triggered are not preventive and carry deductible and coinsurance.
Spartipps
- Confirm the appointment is coded as preventive well-woman screening so no cost-sharing applies under ACA rules.
- Use an in-network primary care provider, OB-GYN, or community health center — zero-cost preventive applies only in-network.
- Ask whether the lab processing your sample is in-network; mismatches are a common source of surprise bills.
- Keep the visit focused on preventive screening; unrelated concerns may trigger a separate billable E&M code.
- Community health centers and Planned Parenthood offer Pap screening on a sliding-fee scale for uninsured patients.
- If follow-up of an abnormal result is needed, ask whether a conservative observation strategy is appropriate before colposcopy.
Versicherungs- und Deckungshinweise
Under the Affordable Care Act, cervical cancer screening (Pap cytology and HPV testing per USPSTF guidelines) is covered with no cost-sharing on most commercial plans when performed by an in-network provider and coded as preventive. Medicare covers a screening Pap every 24 months (every 12 months for high-risk patients) at no cost-sharing. Medicaid coverage is broad and generally at no cost-share. A Pap performed to evaluate symptoms is diagnostic and subject to the plan's standard cost-sharing. Follow-up procedures for abnormal screens (colposcopy, biopsy, LEEP) are not preventive and apply deductible and coinsurance.
Data sources for this page
Cost figures on this page are compiled from the following sources, triangulated per the rules in our methodology:
- CMS Preventive Services Guidelines 2025 — primary CMS reference used as the Medicare-rate anchor.
- Hospital Price Transparency machine-readable files (HPT MRFs) from a sample of major hospitals in each state, per the federal Hospital Price Transparency rule.
- Transparency in Coverage payer in-network rate files for commercial-rate cross-validation.
- State All-Payer Claims Database (APCD) summaries where published (Colorado, New Hampshire, Massachusetts, Minnesota, Maine, Utah, Vermont, Rhode Island, Washington, Oregon).
Last reviewed 2026-04-21. See editorial standards for our fact-checking process and correction policy.
Range: $183 to $345 · 50 states shown
Kosten nach Bundesstaat
| Bundesstaat | Ohne Versicherung | Mit Versicherung | Medicare |
|---|---|---|---|
| Mississippi | $183 | $0 | $0 |
| Arkansas | $188 | $0 | $0 |
| West Virginia | $188 | $0 | $0 |
| Alabama | $195 | $0 | $0 |
| Oklahoma | $195 | $0 | $0 |
| Kentucky | $213 | $0 | $0 |
| Louisiana | $215 | $0 | $0 |
| Iowa | $220 | $0 | $0 |
| New Mexico | $220 | $0 | $0 |
| South Carolina | $220 | $0 | $0 |
| South Dakota | $220 | $0 | $0 |
| Kansas | $223 | $0 | $0 |
| North Dakota | $223 | $0 | $0 |
| Idaho | $225 | $0 | $0 |
| Nebraska | $225 | $0 | $0 |
| Tennessee | $225 | $0 | $0 |
| Indiana | $233 | $0 | $0 |
| Missouri | $233 | $0 | $0 |
| Utah | $233 | $0 | $0 |
| Wyoming | $233 | $0 | $0 |
| Georgia | $235 | $0 | $0 |
| North Carolina | $235 | $0 | $0 |
| Michigan | $238 | $0 | $0 |
| Montana | $238 | $0 | $0 |
| Arizona | $245 | $0 | $0 |
| Ohio | $245 | $0 | $0 |
| Wisconsin | $245 | $0 | $0 |
| Maine | $248 | $0 | $0 |
| Texas | $248 | $0 | $0 |
| Florida | $253 | $0 | $0 |
| Minnesota | $253 | $0 | $0 |
| Illinois | $258 | $0 | $0 |
| Pennsylvania | $258 | $0 | $0 |
| Delaware | $260 | $0 | $0 |
| Nevada | $260 | $0 | $0 |
| Vermont | $260 | $0 | $0 |
| Virginia | $260 | $0 | $0 |
| Colorado | $265 | $0 | $0 |
| New Hampshire | $265 | $0 | $0 |
| Oregon | $265 | $0 | $0 |
| Maryland | $275 | $0 | $0 |
| Rhode Island | $278 | $0 | $0 |
| Washington | $278 | $0 | $0 |
| Connecticut | $300 | $0 | $0 |
| New Jersey | $300 | $0 | $0 |
| California | $330 | $0 | $0 |
| Massachusetts | $333 | $0 | $0 |
| Alaska | $338 | $0 | $0 |
| New York | $338 | $0 | $0 |
| Hawaii | $345 | $0 | $0 |
Häufig gestellte Fragen
Was kostet pap-abstrich ohne Versicherung?
Die durchschnittlichen Kosten für pap-abstrich ohne Versicherung in den USA betragen $250. Die Kosten variieren erheblich je nach Bundesstaat.
Deckt die Versicherung pap-abstrich ab?
Die meisten Krankenversicherungen decken pap-abstrich ab, wenn medizinisch notwendig. Mit Versicherung betragen die durchschnittlichen Eigenkosten $0.
Deckt Medicare pap-abstrich ab?
Medicare Teil B deckt in der Regel pap-abstrich ab, wenn von einem Arzt verordnet. Der durchschnittliche von Medicare genehmigte Betrag ist $0.
Geprüft von Elena Bellini · Zuletzt geprüft: 2026-04-21
Daten stammen von CMS Preventive Services Guidelines 2025. Letzte Aktualisierung: 2026-03-01. Diese Informationen dienen nur zu Bildungszwecken und stellen keine medizinische Beratung dar. Diese Website dient nur zu Informationszwecken und stellt keine medizinische Beratung dar. Konsultieren Sie immer einen qualifizierten Gesundheitsexperten.