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Carrier Test For A Specific Inherited Change

Oregon 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 $52 · 10th–90th $47$1170%20%40%10th90th$52Professionalmedian $47 · 10th–90th $32$1510%10%20%10th90th$47$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
$61.66
Median
$89.13
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$45.71
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$123.03
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$52.48
Typical High
$100.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$102.33
Typical High
$123.03
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$46.77
Typical High
$66.07
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$52.48
Typical High
$66.07
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$95.50
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$56.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$66.07
Typical High
$138.04
Providence
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$61.66
Typical High
$85.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$141.25
Typical High
$173.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$39.81
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$56.23