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Carrier Test For A Specific Inherited Change

Utah 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 $95 · 10th–90th $49$1510%20%10th90th$95Professionalmedian $45 · 10th–90th $22$1510%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
$95.50
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$48.98
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$48.98
Typical High
$100.00
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$54.95
Typical High
$190.55
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$53.70
Select Health
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$41.69
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$46.77