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Carrier Test For A Specific Inherited Change

Nebraska 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 $112 · 10th–90th $28$2950%10%10th90th$112Professionalmedian $31 · 10th–90th $28$3090%50%10th90th$31$20.0$50.0$100.0$200.0$500.0

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
$33.11
Median
$125.89
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$74.13
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$91.20
Typical High
$112.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$70.79
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.18
Typical High
$138.04
Midlands
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$44.67
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$28.18
Typical High
$131.83