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Carrier Test For A Specific Inherited Change

Kansas 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 $102 · 10th–90th $47$2570%5%10%10th90th$102Professionalmedian $46 · 10th–90th $28$980%10%20%10th90th$46$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
$48.98
Median
$81.28
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$40.74
Typical High
$50.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$245.47
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$87.10
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$44.67
Typical High
$57.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$50.12
Typical High
$67.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.18
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$28.18
Typical High
$70.79