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Carrier Test For A Specific Inherited Change

Massachusetts 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 $95 · 10th–90th $55$1510%10%20%10th90th$95Professionalmedian $47 · 10th–90th $32$1510%20%40%10th90th$47$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$46.77
Median
$107.15
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$95.50
Typical High
$151.36
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$147.91
Typical High
$275.42
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$138.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$93.33
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$70.79
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$57.54
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$50.12
Typical High
$123.03
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$3,630.78
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$67.61
Typical High
$79.43
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$85.11
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$147.91
Typical High
$275.42
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$107.15