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Carrier Test For A Specific Inherited Change

Kentucky 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$1120%20%10th90th$47Professionalmedian $66 · 10th–90th $33$1070%20%10th90th$66$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
$38.90
Median
$38.90
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$38.90
Typical High
$64.57
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$46.77
Typical High
$50.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$107.15
Typical High
$107.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$89.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$61.66
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$204.17
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$229.09
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$46.77
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.18
Typical High
$46.77