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Carrier Test For A Specific Inherited Change

Nationwide rates for HCPCS 81200

A blood or saliva test that looks for one or more specific known inherited changes in a single gene, examining those defined changes rather than reading the whole gene from end to end. It is used in carrier screening, where a healthy person is checked for a change that would matter if their partner carried one in the same gene. The result covers only the one gene examined.

Rates data updated July 2026.

Facilitymedian $74 · 10th–90th $39$2090%10%20%10th90th$74Professionalmedian $41 · 10th–90th $25$1510%20%10th90th$41$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$74.13
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$38.90
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$66.07
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$30.90
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$97.72
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$57.54
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$46.77
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.18
Typical High
$70.79