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Carrier Test For A Specific Inherited Change

Iowa 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 $36$1380%10%20%10th90th$74Professionalmedian $41 · 10th–90th $28$3090%10%10th90th$41$10.0$20.0$50.0$100.0$200.0

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
$36.31
Median
$97.72
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$40.74
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$112.20
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$134.90
Typical High
$154.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$56.23
Typical High
$125.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$48.98
Typical High
$190.55
Midlands
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$63.10
Typical High
$63.10
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$51.29
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$120.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77