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Carrier Test For A Specific Inherited Change

Washington 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 $69 · 10th–90th $47$2000%20%10th90th$69Professionalmedian $45 · 10th–90th $32$1230%10%10th90th$45$20.0$50.0$100.0$200.0$500.0

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
$44.67
Median
$104.71
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$44.67
Typical High
$281.84
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$128.82
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$46.77
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$104.71
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$50.12
Typical High
$66.07
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$56.23
Typical High
$162.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$57.54
Typical High
$131.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$45.71
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$95.50
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$95.50
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$83.18
Typical High
$158.49
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$56.23
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$70.79
Typical High
$128.82
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$46.77
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$56.23
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$56.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$46.77
Typical High
$85.11