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Carrier Test For A Specific Inherited Change

Illinois 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 $41$1290%10%10th90th$74Professionalmedian $39 · 10th–90th $3$950%20%10th90th$39$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
$38.90
Median
$74.13
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$38.90
Typical High
$95.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$165.96
Typical High
$588.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$32.36
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$100.00
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$57.54
Typical High
$79.43
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$100.00
Typical High
$204.17
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.18
Typical High
$46.77