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Carrier Test For A Specific Inherited Change

South Dakota 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 $91 · 10th–90th $54$910%50%10th$91Professionalmedian $45 · 10th–90th $32$1320%10%20%10th90th$45$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
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$37.15
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$91.20
Typical High
$112.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$53.70
Typical High
$380.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$234.42
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$109.65
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.18
Typical High
$61.66
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77