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Carrier Test For A Specific Inherited Change

New Jersey 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 $151 · 10th–90th $47$9,3330%10%10th90th$151Professionalmedian $39 · 10th–90th $32$1510%20%40%10th90th$39$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
$60.26
Median
$181.97
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$38.90
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$104.71
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$50.12
Typical High
$104.71
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$50.12
Typical High
$89.13
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$10,471.29
Typical High
$23,988.33
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$46.77
United
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$46.77
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.18
Typical High
$50.12