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Carrier Test For A Specific Inherited Change

Hawaii 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 $47 · 10th–90th $39$560%20%40%10th90th$47Professionalmedian $56 · 10th–90th $32$1200%20%10th90th$56$50.0$100.0

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
$38.90
Median
$46.77
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$35.48
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
HMSA
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$117.49
Typical High
$134.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$56.23
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$46.77
Typical High
$56.23
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$69.18
Typical High
$125.89