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Carrier Test For A Specific Inherited Change

California 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 $112 · 10th–90th $42$2400%10%10th90th$112Professionalmedian $95 · 10th–90th $32$3090%10%10th90th$95$20.0$100.0$500.0$2.0K

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
$64.57
Median
$151.36
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$95.50
Typical High
$309.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$120.23
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$158.49
Typical High
$288.40
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$112.20
Typical High
$138.04
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$91.20
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$85.11
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$33.11
Typical High
$138.04
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$52.48
Typical High
$63.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$52.48
Typical High
$91.20
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$354.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Providence
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$61.66
Typical High
$158.49
Providence
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$52.48
Typical High
$138.04
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$102.33