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Pregnancy Blood Screen For Fetal Conditions

Massachusetts rates for HCPCS 81509

A blood test taken from the mother during pregnancy that measures several naturally occurring substances and combines the results into an estimate of the chance that the baby has certain congenital conditions. It is a screening test: a higher-risk result means further testing should be discussed, not that anything is definitely wrong.

Facilitymedian $3,311 · 10th–90th $58$4,7860%10%20%10th90th$3,311Professionalmedian $1,479 · 10th–90th $58$2,4550%20%10th90th$1,479$100.0$500.0$2.0K$10.0K$50.0K

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
$57.54
Median
$3,311.31
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$1,148.15
Typical High
$1,479.11
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$4,365.16
Typical High
$7,079.46
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,479.11
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$1,148.15
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,819.70
Typical High
$3,890.45
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$4,897.79
Typical High
$9,772.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,511.89
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$3,162.28
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$4,365.16
Typical High
$7,079.46
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,479.11
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,479.11
Typical High
$1,778.28
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,380.38
Typical High
$2,818.38