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Carrier Test For A Specific Inherited Change

Tennessee 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 $72 · 10th–90th $35$2040%10%10th90th$72Professionalmedian $37 · 10th–90th $28$1230%20%10th90th$37$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$35.48
Median
$72.44
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$37.15
Typical High
$56.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$64.57
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$100.00
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$29.51
Typical High
$64.57
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$46.77
Typical High
$46.77
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.18
Typical High
$52.48