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Carrier Screening For Severe Inherited Conditions

Maine rates for HCPCS 81443

This is a laboratory analysis of a blood or saliva sample that checks a person's DNA for changes linked to a group of serious inherited conditions, such as cystic fibrosis or certain inherited blood disorders. It looks across many genes at once rather than testing for a single condition, and is typically ordered before or during pregnancy to help a couple understand their chance of having a child affected by one of these conditions. Results are usually reviewed with a genetic counselor or physician.

Rates data updated July 2026.

How much does Carrier Screening For Severe Inherited Conditions cost?

$2,455

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $2,455 for this service. The price depends on where it is billed: about $2,455 from a physician practice, and about $3,236 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,455$1,995 to $2,455
FacilityA hospital or hospital-owned outpatient department$3,236$2,455 to $10,965

How much rates vary

Facilitymedian $3,236 · 10th to 90th $2,455 to $15,488Professionalmedian $2,455 · 10th to 90th $1,479 to $2,692
$1K$2K$5K$10Kfacility $3,236professional $2,455

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,995.26
Typical High
$2,454.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$15,488.17
Typical High
$16,982.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,380.38
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,454.71
Typical High
$3,019.95
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,951.21
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$10,964.78
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,290.87
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,454.71
Typical High
$3,801.89

Where Maine sits

The same service costs 3.4 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 19th of 51

$2,455

AK $5,495DE $1,622

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.