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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 July 2026.

How much does Prenatal Trisomy Screening From Blood cost?

$1,862

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $1,862 for this service. Most negotiated rates run $1,862 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

Facilitymedian $1,862 · 10th to 90th $1,862 to $1,862Professionalmedian $3,388 · 10th to 90th $398 to $3,388
$100$200$500$1K$2Kfacility $1,862professional $3,388

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
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$398.11
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$977.24
Typical High
$1,445.44

Where California sits

The same service costs 1737.8 times more in Indiana 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· 11th of 33

$1,862

IN $52,481SC $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.