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Prenatal Trisomy Screening From Blood

Ohio 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 $759 · 10th to 90th $457 to $41,687Professionalmedian $75,858 · 10th to 90th $75,858 to $75,858
$500$1K$2K$5K$10K$20K$50Kfacility $759professional $75,858

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
$41,686.94
Median
$41,686.94
Typical High
$63,095.73
CareSource
Setting
Professional
Modifier
Global
Typical Low
$75,857.76
Median
$75,857.76
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$758.58
Typical High
$912.01