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Carrier Test For A Specific Inherited Change

Texas 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 $89 · 10th–90th $35$2340%5%10%10th90th$89Professionalmedian $36 · 10th–90th $5$650%10%10th90th$36$2.0$5.0$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
$30.90
Median
$66.07
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$36.31
Typical High
$63.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$151.36
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$26.92
Typical High
$64.57
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$81.28
Christus
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$194.98
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$100.00
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$47.86
Typical High
$87.10
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$46.77
Typical High
$81.28
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$46.77
Typical High
$70.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$47.86
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$51.29
Typical High
$100.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$53.70
Typical High
$158.49
Providence
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$54.95
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$46.77
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$46.77
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$46.77
Typical High
$63.10