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Carrier Test For A Specific Inherited Change

Rhode Island 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 $56 · 10th–90th $47$2690%20%10th90th$56Professionalmedian $95 · 10th–90th $35$1510%20%10th90th$95$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$54.95
Typical High
$60.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$131.83
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.18
Typical High
$67.61