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Prenatal Trisomy Screening From Blood

California rates for HCPCS 0168U

Screens a pregnancy for the three most common chromosome conditions, trisomy 21 (Down syndrome), trisomy 18 and trisomy 13, using DNA fragments found in the pregnant person's blood plasma. It reports a risk figure and, unlike some similar tests, runs without requiring a minimum amount of DNA from the pregnancy in the sample.

Rates data updated October 2026.

How much does Prenatal Trisomy Screening From Blood cost?

$3,388

Typical negotiated rate. In California, October 2026.

Insurers have agreed to pay about $3,388 for this service. Most negotiated rates run $3,388 to $3,388.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $3,388 · 10th to 90th $3,388 to $3,388
$1K$2Kprofessional $3,388

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
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$407.38
Lucent Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Lucent Health
Setting
Professional
Modifier
TC · Technical part
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$758.58
Median
$1,071.52
Typical High
$1,479.11

Where California sits

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.

California· 6th of 27

$3,388

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.