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Nationwide rates for HCPCS 0009M

Fetal aneuploidy trisom risk

Rates data updated October 2026.

How much does HCPCS 0009M cost?

$2,089

Typical negotiated rate. Nationwide, October 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $2,089 from a physician practice, and about $776 from a hospital or other facility.

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 16 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,089$1,738 to $2,089
FacilityA hospital or hospital-owned outpatient department$776$158 to $10,965

How much rates vary

Facilitymedian $776 · 10th to 90th $0 to $20,417Professionalmedian $2,089 · 10th to 90th $603 to $2,089
$0.1$1$10$100$1K$10Kfacility $776professional $2,089

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
AllWays Health Partners
Setting
Professional
Modifier
None (both parts)
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
AllWays Health Partners
Setting
Professional
Modifier
TC · Technical part
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$39.81
Asuris Northwest Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,089.30
Asuris Northwest Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
AvMed
Setting
Professional
Modifier
None (both parts)
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
BCBS
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.03
Typical High
$645.65
BCBS
Setting
Professional
Modifier
None (both parts)
Typical Low
$109.65
Median
$131.83
Typical High
$151.36
BCBS
Setting
Professional
Modifier
TC · Technical part
Typical Low
$72.44
Median
$87.10
Typical High
$100.00
CareSource
Setting
Facility
Modifier
None
Typical Low
$70,794.58
Median
$70,794.58
Typical High
$70,794.58
CareSource
Setting
Professional
Modifier
None (both parts)
Typical Low
$74,131.02
Median
$74,131.02
Typical High
$74,131.02
Geisinger
Setting
Professional
Modifier
None (both parts)
Typical Low
$446.68
Median
$467.74
Typical High
$660.69
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$151.36
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,513.56
Typical High
$1,659.59
Health Alliance Plan
Setting
Professional
Modifier
None (both parts)
Typical Low
$158.49
Median
$588.84
Typical High
$758.58
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$7,762.47
Median
$15,488.17
Typical High
$26,915.35
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$851.14
Lucent Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$1,737.80
Median
$2,089.30
Typical High
$2,089.30
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Mass General Brigham
Setting
Professional
Modifier
None (both parts)
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Mass General Brigham
Setting
Professional
Modifier
TC · Technical part
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Medica
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$776.25
Typical High
$776.25
Medica
Setting
Professional
Modifier
None (both parts)
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
TC · Technical part
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Molina
Setting
Professional
Modifier
None (both parts)
Typical Low
$30.20
Median
$60.26
Typical High
$758.58
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$602.56
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,621.81
Typical High
$2,290.87
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS
Setting
Professional
Modifier
26 · Professional part
Typical Low
$37.15
Median
$44.67
Typical High
$52.48

What it costs in each state

The same service costs 2344.2 times more in Kentucky than in South Carolina. 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.

Touch or drag across the chart to see any state's rate.

KY $70,795SC $30.20

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.