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Carrier Test For A Specific Inherited Change

Florida 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 $65 · 10th–90th $28$2340%10%10th90th$65Professionalmedian $35 · 10th–90th $28$1510%20%10th90th$35$5.0$20.0$100.0$500.0

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
$19.50
Median
$60.26
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$36.31
Typical High
$151.36
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
AvMed
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$46.77
Typical High
$54.95
AvMed
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$46.77
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$48.98
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$38.90
Typical High
$85.11
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$102.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$30.90
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$42.66
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$19.95
Typical High
$61.66
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$46.77