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Prenatal Trisomy Screening From Blood

Massachusetts 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?

$3,388

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $3,388 for this service. Most negotiated rates run $1,862 to $3,388.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $457 to $1,862Professionalmedian $3,388 · 10th to 90th $3,388 to $3,388
$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
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$3,388.44
Typical High
$3,388.44
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Mass General Brigham
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
$457.09
Median
$457.09
Typical High
$758.58

Where Massachusetts 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.

Massachusetts· 5th of 33

$3,388

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.