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Prenatal Trisomy Screening From Blood

Iowa 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 rates vary

Facilitymedian $1,096 · 10th to 90th $1,096 to $1,096Professionalmedian $2,630 · 10th to 90th $2,630 to $2,630
$1K$2Kfacility $1,096professional $2,630

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
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27