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Prenatal Trisomy Screening From Blood

Kentucky 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 $46,774 · 10th to 90th $759 to $83,176Professionalmedian $74,131 · 10th to 90th $74,131 to $104,713
$1K$2K$5K$10K$20K$50K$100Kfacility $46,774professional $74,131

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
CareSource
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$48,977.88
Typical High
$83,176.38
CareSource
Setting
Professional
Modifier
Global
Typical Low
$74,131.02
Median
$74,131.02
Typical High
$104,712.85
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58