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Carrier Test For A Specific Inherited Change

Connecticut 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 $83 · 10th–90th $47$1410%10%20%10th90th$83Professionalmedian $85 · 10th–90th $31$1510%10%10th90th$85$20.0$50.0$100.0$200.0$500.0$1.0K

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
$46.77
Median
$67.61
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$95.50
Typical High
$151.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$97.72
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$112.20
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$75.86
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$56.23
Typical High
$97.72
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$48.98
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$39.81
Typical High
$77.62