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Carrier Test For A Specific Inherited Change

Montana 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 $71 · 10th–90th $47$1450%20%10th90th$71Professionalmedian $55 · 10th–90th $32$3090%10%20%10th90th$55$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
Professional
Modifier
Global
Typical Low
$32.36
Median
$54.95
Typical High
$309.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$79.43
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$70.79
Typical High
$144.54
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$70.79
Typical High
$144.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$269.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$46.77