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Carrier Test For A Specific Inherited Change

New Hampshire 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 $120 · 10th–90th $66$2690%10%20%10th90th$120Professionalmedian $47 · 10th–90th $31$1100%20%10th90th$47$10.0$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
$66.07
Median
$120.23
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$95.50
Typical High
$151.36
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$91.20
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$44.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$173.78
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$48.98
Typical High
$194.98
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$128.82