Do VPNs pay retail ISPs for exit points?
No, not usually. Few ISPs are willing to risk blacklisting.
Just like scrapers (and a lot of VPNs are quietly using their custom VPN clients to sell your own IP [and data] to scrapers) it's mostly a "don't ask don't tell" situation for IP sourcing. You use a multitude of IP providers and if a scandal happens you just say "We didn't know!" and move on to the next. Almost always grey-market, very rarely through legitimate providers.
Not retail ISPs, but many extensions and free VPNs route VPN traffic through the connections of those who use them.
Some VPN providers don't even have exit nodes in the country they're claiming. Instead they'll have their IPs registered to the respective countries in GeoIP databases.
This isn't a practice all VPN providers partake in. And from my own anecdotal experiences, Mullvad seem to be using services that are geo-located (I say this because I've tested latency between different endpoints in Mullvad). But it is something to be wary of with some of the less reputable providers.