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Carrier Test For A Specific Inherited Change

Maine 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 $76 · 10th–90th $47$6170%20%10th90th$76Professionalmedian $47 · 10th–90th $28$580%50%10th90th$47$20.0$50.0$100.0$200.0$500.0$1.0K

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
$74.13
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.02
Typical High
$46.77
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$616.60
Typical High
$660.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$30.90
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$46.77
Typical High
$47.86
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$56.23
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$208.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$46.77
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$72.44