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Carrier Test For A Specific Inherited Change

South Carolina 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 $87 · 10th–90th $33$2240%10%10th90th$87Professionalmedian $38 · 10th–90th $31$580%50%10th90th$38$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
$33.11
Median
$117.49
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$42.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$204.17
Typical High
$309.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$85.11
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$141.25
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$25.70
Typical High
$100.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$45.71
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$46.77
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.18
Typical High
$46.77